| NPI | 1366644221 |
|---|---|
| Doing Business As | BONITA SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KOROUSH BASSIRI CEO 619-421-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43754) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |