NPI | 1346802469 |
---|---|
Doing Business As | RADIANT SMILE DENTISTRY |
Entity Type | Organization |
Authorized Contact | TRAMMIE BAO-PHUONG BUI Dentist/Owner 408-258-5682 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-06-29 |
Last Update Date | 2023-07-26 |