| NPI | 1861187056 |
|---|---|
| Other Name | GALAXY SMILES FOR KIDS PLLC |
| Entity Type | Organization |
| Authorized Contact | PRATHIP SIVAPRAKASAM Owner 916-342-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |