| A Beautiful Smile | |
|
6767 N Fresno St Ste 200 Fresno CA 93710-3740 | |
| (559) 447-3020 | |
| (559) 447-3025 |
| Full Name | A Beautiful Smile |
|---|---|
| Speciality | Clinic/Center |
| Location | 6767 N Fresno St Ste 200, Fresno, California |
| Authorized Official Name and Position | Efema Nwajei (OWNER/PRESIDENT) |
| Authorized Official Contact | 9083916809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Smile 6767 N Fresno St Ste 200 Fresno CA 93710-3740 Ph: (559) 447-3020 | A Beautiful Smile 6767 N Fresno St Ste 200 Fresno CA 93710-3740 Ph: (559) 447-3020 |
| NPI Number | 1417334244 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 5193187276 |
|---|---|
| Medicare Enrollment ID | O20230822001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417334244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60838 (California) | Primary |
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