NPI | 1770382756 |
---|---|
Doing Business As | CAPITAL SMILE |
Entity Type | Organization |
Authorized Contact | ZEUS MENDOZA GONZALEZ Provider 619-272-9021 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-03-11 |
Last Update Date | 2025-03-11 |