NPI | 1992284301 |
---|---|
Doing Business As | SMILE ADVENTURES |
Entity Type | Organization |
Authorized Contact | CHRISTAIN LIN-BURNS Partner 619-200-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 59203) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60380) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 59010) | |
Enumeration Date | 2018-08-08 |
Last Update Date | 2018-08-08 |