| NPI | 1619147188 |
|---|---|
| Other Name | CHULA VISTA SMILES |
| Entity Type | Organization |
| Authorized Contact | ILSE SAVELLI-CASTILLO Dentist/President 619-427-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 54416) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |