| NPI | 1689281776 |
|---|---|
| Doing Business As | PORTOLA SMILES |
| Entity Type | Organization |
| Authorized Contact | ARIELLE LIBERMAN President 415-468-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |