| NPI | 1568825750 |
|---|---|
| Doing Business As | UNIVERSAL DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GONZALES SOLIVEN CEO/Owner 619-794-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |