Pure Smile Dental Group
NPI #1609141274 in South San Francisco, California
Provider Information
- NPI Number
- 1609141274
- Entity Type
- Organization
- Organization Name
- Pure Smile Dental Group
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 15, 2012
- Last Updated
- Mar 15, 2012
Practice Location
- Address
- 1133 EL CAMINO REAL STE 5
- State
- California
- ZIP Code
- 94080-3288
- Phone
- (650) 244-9928
Authorized Official
- Name
- DR. MOUTAZ KOTROB, DDS
- Title
- OWNER
- Phone
- (650) 244-9928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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