| NPI | 1982032579 |
|---|---|
| Doing Business As | SANTA ANA SMILES |
| Entity Type | Organization |
| Authorized Contact | ASAL GARDNER Owner/Provider 909-800-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 61418) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |