| NPI | 1548413289 |
|---|---|
| Doing Business As | SMILE ISLAND PEDIATRIC & ADULT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KELVIN A TSE Owner 916-773-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 37753) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 37975) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |