| NPI | 1679162127 |
|---|---|
| Doing Business As | SIERRA SMILES TAHOE |
| Entity Type | Organization |
| Authorized Contact | JOHN BOCCHI Owner 775-588-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |