NPI | 1548641152 |
---|---|
Doing Business As | BROOKSIDE SMILES |
Entity Type | Organization |
Authorized Contact | GURSIMRAT K SEKHON Owner 209-594-0485 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50820) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 50820) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2022-08-26 |