NPI | 1851091789 |
---|---|
Doing Business As | A SMILE SHOPPE |
Entity Type | Organization |
Authorized Contact | VALERIE A ROGERS Office Manager 951-677-5113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-03-08 |