| Innovative Smiles | |
|
10929 South St Ste 110b Cerritos CA 90703-5340 | |
| (562) 860-6626 | |
| (562) 860-6628 |
| Full Name | Innovative Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10929 South St, Cerritos, California |
| Authorized Official Name and Position | Amit Shah (PRESIDENT) |
| Authorized Official Contact | 5628606626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Smiles 10929 South St Ste 110b Cerritos CA 90703-5340 Ph: (562) 860-6626 | Innovative Smiles 10929 South St Ste 110b Cerritos CA 90703-5340 Ph: (562) 860-6626 |
| NPI Number | 1710303326 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 03/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710303326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49805 (California) | Primary |
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