| NPI | 1407285729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARICK KAMAL SMAILI Owner 310-490-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 59418) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 59418) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |