NPI | 1336429612 |
---|---|
Doing Business As | GREAT SMILES PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CRYSTAL L ANGELOPOULOS Partner 760-944-5115 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2011-08-18 |
Last Update Date | 2015-04-21 |