| Healthy Smiles Dental Office | |
|
14622 Ventura Blvd Suite 202 Sherman Oaks CA 91403 | |
| (818) 788-3168 | |
| (818) 788-0610 |
| Full Name | Healthy Smiles Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14622 Ventura Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Maria Corazon Carlos Rabonza (PRESIDENT OWNER) |
| Authorized Official Contact | 8187883168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Dental Office 14622 Ventura Blvd Suite 202 Sherman Oaks CA 91403 Ph: (818) 788-3168 | Healthy Smiles Dental Office 14622 Ventura Blvd Suite 202 Sherman Oaks CA 91403 Ph: (818) 788-3168 |
| NPI Number | 1013194117 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013194117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45520 (California) | Primary |
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