| Smile Studio | |
|
190 N Mountain Ave Upland CA 91786-5708 | |
| (909) 981-6400 | |
| Not Available |
| Full Name | Smile Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 190 N Mountain Ave, Upland, California |
| Authorized Official Name and Position | Phil Ra (OWNER/DENTIST) |
| Authorized Official Contact | 9099816400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Studio 190 N Mountain Ave Upland CA 91786-5708 Ph: (909) 981-6400 | Smile Studio 190 N Mountain Ave Upland CA 91786-5708 Ph: (909) 981-6400 |
| NPI Number | 1710376249 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 06/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710376249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47551 (California) | Primary |
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