NPI | 1447593330 |
---|---|
Doing Business As | FRESH SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | FREDDY ZAMBRANO Dentist 818-660-8196 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2013-03-29 |
Last Update Date | 2021-08-16 |