| NPI | 1558917146 |
|---|---|
| Doing Business As | TRIDENT SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHIBANI SUNIL RAJADHYKSHA Owner 858-775-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2019-08-10 |