| NPI | 1720470479 |
|---|---|
| Doing Business As | GREAT SMILES OF LA MESA |
| Entity Type | Organization |
| Authorized Contact | SHERIN C JOHNSON Owner 619-466-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 59889) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |