NPI | 1912381807 |
---|---|
Doing Business As | SMART SMILE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LORI BAGAI Dentist 714-604-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-10 |