| NPI | 1346997707 |
|---|---|
| Doing Business As | MILLBRAE SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | SUPRIYA SURAJ VASANTH Dentist 650-697-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |