| NPI | 1558835496 |
|---|---|
| Doing Business As | AMAZING SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUPE A GOME Administrator 714-856-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |