NPI | 1396254991 |
---|---|
Doing Business As | IDEAL SMILE DENTISTRY DENTAL PRACTICE |
Doing Business As | IDEAL SMILE DENTISTRY DENTAL PRACTISE |
Entity Type | Organization |
Authorized Contact | NAHIDEH SHOJAEI President 559-662-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 59804) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 59804) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-07-21 |