NPI | 1376036764 |
---|---|
Doing Business As | GLADSTONE SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | ERIC TUTT Owner Dentist 714-845-8701 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-06-11 |
Last Update Date | 2022-03-09 |