NPI | 1710251764 |
---|---|
Doing Business As | SMILE WIDE |
Entity Type | Organization |
Authorized Contact | KIAVASH KEVIN BADII President 714-835-2383 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56861) | |
Enumeration Date | 2012-03-07 |
Last Update Date | 2015-04-13 |