| Silverlake Smiles | |
|
700 Fair Oaks Ave Ste B South Pasadena CA 91030-2675 | |
| (626) 421-7171 | |
| Not Available |
| Full Name | Silverlake Smiles |
|---|---|
| Speciality | Dentist |
| Location | 700 Fair Oaks Ave Ste B, South Pasadena, California |
| Authorized Official Name and Position | Juliet Ebrahimian (DENTIST) |
| Authorized Official Contact | 8183070416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silverlake Smiles 2129 E Glenoaks Blvd Glendale CA 91206-2933 Ph: (818) 307-0416 | Silverlake Smiles 700 Fair Oaks Ave Ste B South Pasadena CA 91030-2675 Ph: (626) 421-7171 |
| NPI Number | 1851046643 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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