21st Century Smile | |
5600 Pacific Blvd Suite A Huntington Park CA 90255-2537 | |
(323) 585-2100 | |
(323) 585-6545 |
Full Name | 21st Century Smile |
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Speciality | Dentist - General Practice |
Location | 5600 Pacific Blvd, Huntington Park, California |
Authorized Official Name and Position | Soheil Jourabchi (OWNER) |
Authorized Official Contact | 3235852100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21st Century Smile 5600 Pacific Blvd Suite A Huntington Park CA 90255-2537 Ph: (323) 585-2100 | 21st Century Smile 5600 Pacific Blvd Suite A Huntington Park CA 90255-2537 Ph: (323) 585-2100 |
NPI Number | 1194920876 |
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Provider Enumeration Date | 06/20/2007 |
Last Update Date | 12/02/2009 |
Identifier | Type | State | Issuer |
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1194920876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42336 (California) | Primary |
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