| NPI | 1518694868 |
|---|---|
| Doing Business As | KRYSTAL SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL NGUYEN Owner 714-725-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |