NPI | 1871752915 |
---|---|
Doing Business As | MAKE A SMILE |
Entity Type | Organization |
Authorized Contact | MONICA TAVALLAEI Pediatric Dentist 916-380-0102 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48036) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2016-04-12 |