| NPI | 1902157944 |
|---|---|
| Doing Business As | GREAT SMILE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARY JANET C ROLDAN President 661-369-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 50897) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |