| NPI | 1538823547 | 
|---|---|
| Doing Business As | 915 SMILE STUDIO | 
| Entity Type | Organization | 
| Authorized Contact | QUOC DANG Owner 408-705-5001  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | 
| Enumeration Date | 2021-10-26 | 
| Last Update Date | 2021-10-26 |