NPI | 1699280685 |
---|---|
Doing Business As | FRESH SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | FREDDY ZAMBRANO Dentist 951-729-4800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-12-12 |
Last Update Date | 2021-08-16 |