| NPI | 1578724928 |
|---|---|
| Doing Business As | SMILE TIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONICA TAVALLAEI Owner 916-984-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48036) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2012-06-18 |