| NPI | 1407165335 | 
|---|---|
| Doing Business As | MOORPARK SMILES DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | CARLA THORNE Office Manager 805-553-1980 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Additional Taxonomies | 1223P0300X Dentist, Periodontics | 
| Enumeration Date | 2010-09-27 | 
| Last Update Date | 2010-09-27 |