| Hd Smile Dental | |
|
1680 North Vine Street Suite #200 Los Angeles CA 90028-8844 | |
| (323) 464-2033 | |
| (323) 464-2893 |
| Full Name | Hd Smile Dental |
|---|---|
| Speciality | Dentist |
| Location | 1680 North Vine Street, Los Angeles, California |
| Authorized Official Name and Position | Heba Zied (OWNER/DENTIST) |
| Authorized Official Contact | 3234642033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hd Smile Dental 1680 North Vine Street Suite #200 Los Angeles CA 90028-8844 Ph: (323) 464-2033 | Hd Smile Dental 1680 North Vine Street Suite #200 Los Angeles CA 90028-8844 Ph: (323) 464-2033 |
| NPI Number | 1801304845 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 01/12/2018 |
| Medicare PECOS PAC ID | 9931518735 |
|---|---|
| Medicare Enrollment ID | O20210507000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801304845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63202 (California) | Primary |
| Provider Name | Heba Zied |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548682768 PECOS PAC ID: 1759790553 Enrollment ID: I20210507000314 |
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