| NPI | 1962179036 |
|---|---|
| Doing Business As | EXTREME SMILE MAKEOVER |
| Entity Type | Organization |
| Authorized Contact | ALI SHOJANIA Owner 858-922-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |