| NPI | 1861675597 |
|---|---|
| Doing Business As | A BEAUTIFUL SMILE |
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE WINEGARDEN Owner 559-447-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 29905) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-06-30 |