| Esthetic Smile Dental | |
|
19231 Victory Blvd Ste 216 Reseda CA 91335-6338 | |
| (818) 344-4929 | |
| Not Available |
| Full Name | Esthetic Smile Dental |
|---|---|
| Speciality | Dentist |
| Location | 19231 Victory Blvd Ste 216, Reseda, California |
| Authorized Official Name and Position | Jacob J Vayner (PRESIDENT) |
| Authorized Official Contact | 8183444929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthetic Smile Dental 19231 Victory Blvd Ste 216 Reseda CA 91335-6338 Ph: (818) 344-4929 | Esthetic Smile Dental 19231 Victory Blvd Ste 216 Reseda CA 91335-6338 Ph: (818) 344-4929 |
| NPI Number | 1952726499 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952726499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58805 (California) | Primary |
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