NPI | 1306470711 |
---|---|
Doing Business As | SURFIN SMILES |
Entity Type | Organization |
Authorized Contact | ANDREW VAN SICKLEN Owner 805-423-4481 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-02-25 |