| NPI | 1417593302 |
|---|---|
| Doing Business As | SMILE ISLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHRINA CARRASCO Dentist/Owner 805-551-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |