| NPI | 1659084606 |
|---|---|
| Doing Business As | AGOURA SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIELE CAPONE COO 818-991-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |