NPI | 1851046643 |
---|---|
Doing Business As | SILVERLAKE SMILES |
Entity Type | Organization |
Authorized Contact | JULIET EBRAHIMIAN Dentist 818-307-0416 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-20 |
Last Update Date | 2024-06-10 |