| NPI | 1952549008 |
|---|---|
| Doing Business As | GRAND SMILES FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSE EMMANUEL RUBIO DE LUNA Dr. And President 760-734-6829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47711) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |