| NPI | 1780485573 |
|---|---|
| Doing Business As | SMILE SANTA MARIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ISSA Provider 858-262-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |