NPI | 1891143780 |
---|---|
Doing Business As | WINNING SMILE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BRANDI DE ARMON Regional Manager 209-263-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |