| NPI | 1902179658 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | KIAVASH KEVIN BADII President 714-835-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2015-04-13 |