| NPI | 1477196244 |
|---|---|
| Doing Business As | SMILE DENTAL OF DELANO |
| Entity Type | Organization |
| Authorized Contact | DAVID S PARK Owner 310-403-1117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-01-06 |