| NPI | 1629540513 |
|---|---|
| Doing Business As | SAN MARCOS SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | VINH BAO LE Vice President 760-591-9494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-06-22 |