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 |