NPI | 1386159879 |
---|---|
Doing Business As | MAKE A SMILE |
Entity Type | Organization |
Authorized Contact | MEGAN CASTILLO Operations Manager 916-781-6550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 1700020026) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2022-08-10 |