| Ideal Smile Dentistry Dental Practise | |
|
475 E Almond Ave Ste 103 Madera CA 93637-5750 | |
| (559) 662-1010 | |
| (559) 662-0942 |
| Full Name | Ideal Smile Dentistry Dental Practise |
|---|---|
| Speciality | Dentist |
| Location | 475 E Almond Ave Ste 103, Madera, California |
| Authorized Official Name and Position | Nahideh Shojaei (PRESIDENT) |
| Authorized Official Contact | 5596621010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Smile Dentistry Dental Practise 475 E Almond Ave Ste 103 Madera CA 93637-5750 Ph: (559) 662-1010 | Ideal Smile Dentistry Dental Practise 475 E Almond Ave Ste 103 Madera CA 93637-5750 Ph: (559) 662-1010 |
| NPI Number | 1396254991 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396254991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59804 (California) | Primary |
| 261QD0000X | Clinic/center - Dental | 59804 (California) | Secondary |
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