| NPI | 1619254059 |
|---|---|
| Doing Business As | DENTAL SMILE STUDIO |
| Entity Type | Organization |
| Authorized Contact | RODRICK GHADIMI President 805-532-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52606) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 52575) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-04-22 |