| NPI | 1659761294 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | DANIEL HARVEY LEE President 949-596-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56861) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-08 |