| Signature Smile Dental | |
|
1835 W Orangethorpe Ave Fullerton CA 92833-4405 | |
| (714) 773-5575 | |
| (714) 773-5549 |
| Full Name | Signature Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1835 W Orangethorpe Ave, Fullerton, California |
| Authorized Official Name and Position | Emerito Yuvienco Villarama (PRESIDENT) |
| Authorized Official Contact | 7147735575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smile Dental 1835 W Orangethorpe Ave Fullerton CA 92833-4405 Ph: (714) 773-5575 | Signature Smile Dental 1835 W Orangethorpe Ave Fullerton CA 92833-4405 Ph: (714) 773-5575 |
| NPI Number | 1396887212 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396887212 | NPI | - | NPPES |
| G9371501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D49426 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 49426 (California) | Primary |
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