Modern Smile Dentistry | |
2151 S College Dr Ste 103 Santa Maria CA 93455-1304 | |
(805) 934-4000 | |
(805) 803-1999 |
Full Name | Modern Smile Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 2151 S College Dr Ste 103, Santa Maria, California |
Authorized Official Name and Position | Nima Mashhoon (DENTIST) |
Authorized Official Contact | 8059344000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Smile Dentistry 2151 S College Dr Ste 103 Santa Maria CA 93455-1304 Ph: (805) 934-4000 | Modern Smile Dentistry 2151 S College Dr Ste 103 Santa Maria CA 93455-1304 Ph: (805) 934-4000 |
NPI Number | 1528713534 |
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Provider Enumeration Date | 02/17/2022 |
Last Update Date | 03/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528713534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Secondary |
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