NPI | 1346365657 |
---|---|
Doing Business As | SMILE AVENUE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | SOPHIA ROZOV CEO 562-904-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45820) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2016-01-22 |