| NPI | 1487128039 |
|---|---|
| Doing Business As | ENERGETIC SMILE |
| Entity Type | Organization |
| Authorized Contact | LENA DEBAZ Owner, General Dentist 714-594-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |