NPI | 1558034132 |
---|---|
Doing Business As | PORTOLA SMILES |
Entity Type | Organization |
Authorized Contact | FRANCINE ABAD President 415-468-3756 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-07-29 |