| NPI | 1336539824 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | DANIEL HARVEY LEE President 949-596-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-08 |