| NPI | 1568220226 |
|---|---|
| Doing Business As | INNOVATIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | JESMINE BOGHAWALA Owner 562-542-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |