| Hollywood Smile Dental Group | |
|
12903 Victory Blvd North Hollywood CA 91606-2923 | |
| (818) 752-7525 | |
| (818) 752-7527 |
| Full Name | Hollywood Smile Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12903 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Mojgan Tamaddon (PRESIDENT) |
| Authorized Official Contact | 8187527525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Smile Dental Group 12903 Victory Blvd North Hollywood CA 91606-2923 Ph: (818) 752-7525 | Hollywood Smile Dental Group 12903 Victory Blvd North Hollywood CA 91606-2923 Ph: (818) 752-7525 |
| NPI Number | 1023299815 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023299815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49417 (California) | Primary |
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