| A New Smile Canyon Country | |
|
27209 Camp Plenty Rd Canyon Country CA 91351-2634 | |
| (661) 251-0480 | |
| Not Available |
| Full Name | A New Smile Canyon Country |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27209 Camp Plenty Rd, Canyon Country, California |
| Authorized Official Name and Position | Ali Khosrovani (OWNER/DENTIST) |
| Authorized Official Contact | 6618865274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Smile Canyon Country 27209 Camp Plenty Rd Canyon Country CA 91351-2634 Ph: (661) 251-0480 | A New Smile Canyon Country 27209 Camp Plenty Rd Canyon Country CA 91351-2634 Ph: (661) 251-0480 |
| NPI Number | 1164866810 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164866810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47217 (California) | Primary |
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