| Smile Thirteetoo | |
|
1000 Newbury Rd Ste 255 Newbury Park CA 91320-6444 | |
| (805) 480-3934 | |
| (805) 480-3940 |
| Full Name | Smile Thirteetoo |
|---|---|
| Speciality | Dentist |
| Location | 1000 Newbury Rd Ste 255, Newbury Park, California |
| Authorized Official Name and Position | Lei Yin (PRESIDENT) |
| Authorized Official Contact | 8054803934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Thirteetoo 1000 Newbury Rd Ste 255 Newbury Park CA 91320-6444 Ph: (805) 480-3934 | Smile Thirteetoo 1000 Newbury Rd Ste 255 Newbury Park CA 91320-6444 Ph: (805) 480-3934 |
| NPI Number | 1245497957 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245497957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50697 (California) | Primary |
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