| Happy Smiles | |
|
1655 S Western Ave Ste C Los Angeles CA 90006-5801 | |
| (323) 529-0002 | |
| Not Available |
| Full Name | Happy Smiles |
|---|---|
| Speciality | Dentist |
| Location | 1655 S Western Ave Ste C, Los Angeles, California |
| Authorized Official Name and Position | Rody Paz Casanova (OFFICE MANAGER) |
| Authorized Official Contact | 6264165500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Smiles 10728 Ramona Blvd Ste D El Monte CA 91731-2601 Ph: (626) 416-5500 | Happy Smiles 1655 S Western Ave Ste C Los Angeles CA 90006-5801 Ph: (323) 529-0002 |
| NPI Number | 1831661586 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 8527424431 |
|---|---|
| Medicare Enrollment ID | O20230519000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831661586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Azizollan Maghen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417037342 PECOS PAC ID: 9335282920 Enrollment ID: I20100204000408 |
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