| 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 |