| Fuller Smiles | |
|
4676 Admiralty Way Ste 532 Marina Del Rey CA 90292-6657 | |
| (310) 734-4547 | |
| Not Available |
| Full Name | Fuller Smiles |
|---|---|
| Speciality | Dentist |
| Location | 4676 Admiralty Way Ste 532, Marina Del Rey, California |
| Authorized Official Name and Position | Arshjot Singh Ahuja (PRESIDENT) |
| Authorized Official Contact | 9094565089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Smiles 4676 Admiralty Way Ste 532 Marina Del Rey CA 90292-6657 Ph: (310) 734-4547 | Fuller Smiles 4676 Admiralty Way Ste 532 Marina Del Rey CA 90292-6657 Ph: (310) 734-4547 |
| NPI Number | 1952739732 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952739732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57141 (California) | Primary |
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