NPI | 1790295632 |
---|---|
Doing Business As | SMILE TIME DENTAL |
Entity Type | Organization |
Authorized Contact | MEGAN CASTILLO Business Manager 916-781-6550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |