NPI | 1467188847 |
---|---|
Doing Business As | SMILE DENTAL OF NEVADA |
Entity Type | Organization |
Authorized Contact | DAVID SANGHO PARK CEO/Dentist 310-403-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |