NPI | 1770870024 |
---|---|
Doing Business As | A BRILLIANT SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | HANADI MARWIN TOUKATLI Owner 562-920-8324 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-07-07 |
Last Update Date | 2011-07-07 |