NPI | 1700651627 |
---|---|
Doing Business As | GARDEN GROVE DENTAL SMILES |
Entity Type | Organization |
Authorized Contact | SHALINI M SHAH Owner Dentist 562-695-5251 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-11-21 |
Last Update Date | 2023-11-21 |