| 123 Smile Dental Care | |
|
6000 Camino Real Riverside CA 92509-5362 | |
| (951) 360-0000 | |
| (951) 616-2036 |
| Full Name | 123 Smile Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6000 Camino Real, Riverside, California |
| Authorized Official Name and Position | Quynh Tram Truong (DENTIST) |
| Authorized Official Contact | 9513600000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 123 Smile Dental Care 6000 Camino Real Riverside CA 92509-5362 Ph: (951) 360-0000 | 123 Smile Dental Care 6000 Camino Real Riverside CA 92509-5362 Ph: (951) 360-0000 |
| NPI Number | 1598822769 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598822769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47426 (California) | Primary |
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