NPI | 1508528142 |
---|---|
Doing Business As | THE SMILE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | MONA DERENTZ Owner, Orthodontist 805-630-4541 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2021-10-11 |
Last Update Date | 2021-10-11 |