NPI | 1700127321 |
---|---|
Doing Business As | SMILE TIME DENTAL |
Entity Type | Organization |
Authorized Contact | MONICA TAVALLAEI Owner 916-984-4224 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |