| Ismile Orthodontics | |
|
1530 W 6th St Suite 101-a Corona CA 92882-2742 | |
| (949) 378-9389 | |
| (909) 622-0550 |
| Full Name | Ismile Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1530 W 6th St, Corona, California |
| Authorized Official Name and Position | Shehzad Khan (PRESIDENT) |
| Authorized Official Contact | 9493789389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Orthodontics 1530 W 6th St Suite 101-a Corona CA 92882-2742 Ph: () - | Ismile Orthodontics 1530 W 6th St Suite 101-a Corona CA 92882-2742 Ph: (949) 378-9389 |
| NPI Number | 1629505417 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629505417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54611 (California) | Primary |
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