| NPI | 1659853364 |
|---|---|
| Doing Business As | SMILE DENTAL OF VISTA |
| Entity Type | Organization |
| Authorized Contact | DAVID PARK Owner 310-431-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |