| NPI | 1720459506 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | KIAVASH KEVIN BADII President 949-596-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 54538) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |