NPI | 1396227815 |
---|---|
Doing Business As | FOREVER SMILES DENTAL |
Entity Type | Organization |
Authorized Contact | BILKISU IDAKOJI President 510-676-4783 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-08-30 |
Last Update Date | 2018-08-30 |