| NPI | 1447622329 |
|---|---|
| Doing Business As | ORTHO SMILE |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ VIDALES Dentist 760-744-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45212) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |