| NPI | 1508462649 |
|---|---|
| Doing Business As | SMILE DENTAL OF MLK |
| Entity Type | Organization |
| Authorized Contact | DAVID S PARK Dentist 310-403-1117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-05-12 |