| Beautiful Smile Family Dentistry | |
|
13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 | |
| (310) 644-2310 | |
| (310) 644-2538 |
| Full Name | Beautiful Smile Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13637 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Behdad Omrani (DENTIST / PRESIDENT) |
| Authorized Official Contact | 3106442310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Smile Family Dentistry 13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 Ph: (310) 644-2310 | Beautiful Smile Family Dentistry 13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 Ph: (310) 644-2310 |
| NPI Number | 1356526750 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356526750 | NPI | - | NPPES |
| G89739/01 | Other | CA | DENTACAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 52443 (California) | Primary |
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