| NPI | 1639553456 |
|---|---|
| Doing Business As | CLEAN SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RACHAEL SOTO Office Manager 661-942-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |