| NPI | 1922894567 | 
|---|---|
| Doing Business As | EL SEGUNDO BEAUTIFUL SMILES | 
| Entity Type | Organization | 
| Authorized Contact | CUONG NGUYEN President 310-322-1814 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2025-04-18 | 
| Last Update Date | 2025-04-18 |