| NPI | 1861032401 |
|---|---|
| Doing Business As | CLEAN SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NEIL RANJIT SANGANI President 909-702-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-01-12 |