| NPI | 1316613193 |
|---|---|
| Doing Business As | SMART DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULIAN F PETERSEN Dentist/Proprietor 925-548-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-01-20 |