| Fresh Smile Dental Center | |
|
8215 Sunland Blvd Sun Valley CA 91352-3362 | |
| (818) 252-7222 | |
| Not Available |
| Full Name | Fresh Smile Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8215 Sunland Blvd, Sun Valley, California |
| Authorized Official Name and Position | Kamiar H. Dehkordi (OWNER) |
| Authorized Official Contact | 8182527222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Smile Dental Center 8215 Sunland Blvd Sun Valley CA 91352-3362 Ph: (818) 252-7222 | Fresh Smile Dental Center 8215 Sunland Blvd Sun Valley CA 91352-3362 Ph: (818) 252-7222 |
| NPI Number | 1306010194 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53782 (California) | Primary |
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