| NPI | 1508285503 |
|---|---|
| Doing Business As | HUNTINGTON BEACH MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICOLE SMITH Owne Doctor 714-536-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |