| Ismiles Kids Dentistry And Orthodontics | |
|
2097 Compton Ave Suite 104b Corona CA 92881-7282 | |
| (951) 273-9992 | |
| (951) 273-9991 |
| Full Name | Ismiles Kids Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2097 Compton Ave, Corona, California |
| Authorized Official Name and Position | Tuan Thanh Ly (PRACTICE OWNER) |
| Authorized Official Contact | 9512739992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismiles Kids Dentistry And Orthodontics 2097 Compton Ave Suite 104b Corona CA 92881-7282 Ph: (951) 273-9992 | Ismiles Kids Dentistry And Orthodontics 2097 Compton Ave Suite 104b Corona CA 92881-7282 Ph: (951) 273-9992 |
| NPI Number | 1356728281 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356728281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 57169 (California) | Primary |
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