| Hacienda Smile Design | |
|
161 S Hacienda Blvd City Of Industry CA 91745-1102 | |
| (626) 968-9601 | |
| (626) 968-9603 |
| Full Name | Hacienda Smile Design |
|---|---|
| Speciality | Dentist |
| Location | 161 S Hacienda Blvd, City Of Industry, California |
| Authorized Official Name and Position | Julia S Go (PRESIDENT) |
| Authorized Official Contact | 6269689601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hacienda Smile Design 161 S Hacienda Blvd City Of Industry CA 91745-1102 Ph: (626) 968-9601 | Hacienda Smile Design 161 S Hacienda Blvd City Of Industry CA 91745-1102 Ph: (626) 968-9601 |
| NPI Number | 1497113476 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497113476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27286 (California) | Primary |
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