| NPI | 1508103219 |
|---|---|
| Doing Business As | WOW SMILES |
| Entity Type | Organization |
| Authorized Contact | RAEL ILAN BERNSTEIN President 707-575-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46245) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2018-08-28 |