| A Beautiful Smile Means A Better Life 2 | |
|
11411 Brookshire Ave Ste 405 Downey CA 90241 | |
| (562) 861-0496 | |
| (562) 861-4153 |
| Full Name | A Beautiful Smile Means A Better Life 2 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11411 Brookshire Ave Ste 405, Downey, California |
| Authorized Official Name and Position | Gary R Crockett (OWNER) |
| Authorized Official Contact | 5628610496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Smile Means A Better Life 2 11411 Brookshire Ave Ste 405 Downey CA 90241 Ph: (562) 861-0496 | A Beautiful Smile Means A Better Life 2 11411 Brookshire Ave Ste 405 Downey CA 90241 Ph: (562) 861-0496 |
| NPI Number | 1154588895 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154588895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20092 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 50687 (California) | Secondary |
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