Happy Smiles Dental Practice | |
21038 Calistoga St. Middletown CA 95461-1124 | |
(707) 987-2773 | |
(707) 987-0688 |
Full Name | Happy Smiles Dental Practice |
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Speciality | Dentist |
Location | 21038 Calistoga St., Middletown, California |
Authorized Official Name and Position | Ewa Konopka (PRESIDENT) |
Authorized Official Contact | 7079872773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Happy Smiles Dental Practice 21038 Calistoga St. Middletown CA 95461-1124 Ph: (707) 987-2773 | Happy Smiles Dental Practice 21038 Calistoga St. Middletown CA 95461-1124 Ph: (707) 987-2773 |
NPI Number | 1114137775 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1114137775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 45896 (California) | Primary |