| NPI | 1558058222 |
|---|---|
| Doing Business As | CENTURY SMILE MAKER SEGAL DENTAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | SEMYON SEGAL President 323-688-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |