| NPI | 1871181826 |
|---|---|
| Doing Business As | SMILE LAB |
| Entity Type | Organization |
| Authorized Contact | WAISE EBRAHIMI President 925-548-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-07-05 |