| Smile Designs Dentistry | |
|
295 Spreckels Ave Manteca CA 95336-6005 | |
| (209) 780-4777 | |
| (209) 780-4498 |
| Full Name | Smile Designs Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 295 Spreckels Ave, Manteca, California |
| Authorized Official Name and Position | Sanjay Kumar Vanjarapu (PRESIDENT) |
| Authorized Official Contact | 2097804777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Designs Dentistry 295 Spreckels Ave Manteca CA 95336-6005 Ph: (209) 780-4777 | Smile Designs Dentistry 295 Spreckels Ave Manteca CA 95336-6005 Ph: (209) 780-4777 |
| NPI Number | 1215389069 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215389069 | NPI | - | NPPES |
| 1841362019 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55771 (California) | Primary |
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