| Aesthetic Smile Dental Center | |
|
3203 Carson St Suite # 2 Lakewood CA 90712-4006 | |
| (562) 496-1888 | |
| (562) 496-0688 |
| Full Name | Aesthetic Smile Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3203 Carson St, Lakewood, California |
| Authorized Official Name and Position | Marilou S. Toquero (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5624961888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Smile Dental Center 3203 Carson St Suite # 2 Lakewood CA 90712-4006 Ph: (562) 496-1888 | Aesthetic Smile Dental Center 3203 Carson St Suite # 2 Lakewood CA 90712-4006 Ph: (562) 496-1888 |
| NPI Number | 1255597530 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255597530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54432 (California) | Primary |
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