| NPI | 1386200103 |
|---|---|
| Doing Business As | BUENA SMILE |
| Entity Type | Organization |
| Authorized Contact | CAMILLE HERRERA Administrator 805-382-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |