| Blessed Smile Dentistry | |
|
1155 S Diamond Bar Blvd Ste D Diamond Bar CA 91765-2235 | |
| (818) 279-1634 | |
| Not Available |
| Full Name | Blessed Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1155 S Diamond Bar Blvd Ste D, Diamond Bar, California |
| Authorized Official Name and Position | Sooji H Lee (DIRECTOR) |
| Authorized Official Contact | 8182791634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessed Smile Dentistry 1155 S Diamond Bar Blvd Ste D Diamond Bar CA 91765-2235 Ph: (818) 279-1634 | Blessed Smile Dentistry 1155 S Diamond Bar Blvd Ste D Diamond Bar CA 91765-2235 Ph: (818) 279-1634 |
| NPI Number | 1265872444 |
|---|---|
| Provider Enumeration Date | 07/02/2013 |
| Last Update Date | 07/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265872444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54619 (California) | Primary |
| 122300000X | Dentist | 41978 (California) | Secondary |
| 122300000X | Dentist | 46233 (California) | Secondary |
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