| Smile Community Clinic Inc | |
|
670 W. San Marcos Blvd. Ste 103-b San Marcos CA 92078 | |
| (760) 471-9292 | |
| (760) 471-9293 |
| Full Name | Smile Community Clinic Inc |
|---|---|
| Speciality | Dentist |
| Location | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, California |
| Authorized Official Name and Position | Vida Namavar (OFFICER) |
| Authorized Official Contact | 7604719292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Community Clinic Inc 670 W. San Marcos Blvd Ste 103-b San Marcos CA 92078 Ph: (760) 471-9292 | Smile Community Clinic Inc 670 W. San Marcos Blvd. Ste 103-b San Marcos CA 92078 Ph: (760) 471-9292 |
| NPI Number | 1457878415 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 08/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457878415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59394 (California) | Primary |
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