| Smile Orthodontics | |
|
2508 E Palmdale Blvd Palmdale CA 93550-4860 | |
| (661) 947-9990 | |
| (661) 947-2458 |
| Full Name | Smile Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2508 E Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | Daniel Vincent Ruffolo (ORTHODONTIST) |
| Authorized Official Contact | 6619479990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Orthodontics 2508 E Palmdale Blvd Palmdale CA 93550-4860 Ph: (661) 947-9990 | Smile Orthodontics 2508 E Palmdale Blvd Palmdale CA 93550-4860 Ph: (661) 947-9990 |
| NPI Number | 1174940795 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174940795 | NPI | - | NPPES |
| 1477855245 | Other | CA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 56758 (California) | Primary |
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