NPI | 1316291628 |
---|---|
Doing Business As | PCH SMILES DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | WALTER JEFFERSON Owner Doctor 310-534-3002 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-11-08 |
Last Update Date | 2012-11-08 |