| NPI | 1891467940 |
|---|---|
| Doing Business As | 123 ISMILE |
| Entity Type | Organization |
| Authorized Contact | JASBIR S CHEEMA CEO 209-824-1940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |