| NPI | 1710303326 |
|---|---|
| Doing Business As | INNOVATIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | AMIT SHAH President 562-860-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49805) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |