| Hollywood Smile Dental Excellence | |
|
8205 Santa Monica Blvd Ste 12 West Hollywood CA 90046-5963 | |
| (323) 654-1100 | |
| (323) 654-2043 |
| Full Name | Hollywood Smile Dental Excellence |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8205 Santa Monica Blvd Ste 12, West Hollywood, California |
| Authorized Official Name and Position | Sinaida Kniter (OWNER) |
| Authorized Official Contact | 3236541100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Smile Dental Excellence 8205 Santa Monica Blvd Ste 12 West Hollywood CA 90046-5963 Ph: (323) 654-1100 | Hollywood Smile Dental Excellence 8205 Santa Monica Blvd Ste 12 West Hollywood CA 90046-5963 Ph: (323) 654-1100 |
| NPI Number | 1720273360 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720273360 | NPI | - | NPPES |
| B37123-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 37123 (California) | Primary |
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