| NPI | 1356715320 |
|---|---|
| Doing Business As | SUSTAINABLE SMILES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA YOUNG President 916-934-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 63578) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 63578) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |