| NPI | 1902552771 |
|---|---|
| Doing Business As | BEACHSIDE SMILES |
| Entity Type | Organization |
| Authorized Contact | ADONIS RAMOS MUNGCAL Owner 818-605-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-15 |