| NPI | 1750614541 |
|---|---|
| Doing Business As | SMILE TIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONICA TAVALLAEI Owner 916-984-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2011-01-18 |