| Smile City Dental Group | |
|
19366 Soledad Canyon Rd Canyon Country CA 91351-2629 | |
| (661) 252-8888 | |
| (661) 252-8808 |
| Full Name | Smile City Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19366 Soledad Canyon Rd, Canyon Country, California |
| Authorized Official Name and Position | Alexi Kossi (PRESIDENT) |
| Authorized Official Contact | 6617029595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile City Dental Group 19366 Soledad Canyon Rd Canyon Country CA 91351-2629 Ph: (661) 252-8888 | Smile City Dental Group 19366 Soledad Canyon Rd Canyon Country CA 91351-2629 Ph: (661) 252-8888 |
| NPI Number | 1811003049 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811003049 | NPI | - | NPPES |
| B42659-01 | Other | CA | DENTI-CAL |
| B42659-02 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42659 (California) | Primary |
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