| Shining Smiles Orthodontics | |
|
933 S Sunset Ave Ste 208 West Covina CA 91790-3410 | |
| (213) 800-1228 | |
| Not Available |
| Full Name | Shining Smiles Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 933 S Sunset Ave Ste 208, West Covina, California |
| Authorized Official Name and Position | Donggeun Lee (PRESIDENT) |
| Authorized Official Contact | 2138001228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Smiles Orthodontics 933 S Sunset Ave Ste 208 West Covina CA 91790-3410 Ph: (626) 388-2621 | Shining Smiles Orthodontics 933 S Sunset Ave Ste 208 West Covina CA 91790-3410 Ph: (213) 800-1228 |
| NPI Number | 1710670450 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710670450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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