| NPI | 1740957257 |
|---|---|
| Doing Business As | SMILE BOUTIQUE - NORTHRIDGE |
| Entity Type | Organization |
| Authorized Contact | OLGA VERDY Office Manager 818-678-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |