| Smile Wide | |
|
17660 Lakewood Blvd Bellflower CA 90706-6410 | |
| (562) 461-1180 | |
| (562) 804-0863 |
| Full Name | Smile Wide |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17660 Lakewood Blvd, Bellflower, California |
| Authorized Official Name and Position | Daniel Harvey Lee (PRESIDENT) |
| Authorized Official Contact | 9495968100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wide 19762 Macarthur Blvd. 100 Irvine CA 92612-8275 Ph: (949) 596-8100 | Smile Wide 17660 Lakewood Blvd Bellflower CA 90706-6410 Ph: (562) 461-1180 |
| NPI Number | 1336539824 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336539824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Primary |
California Dental Group Of Bellflower Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10106 Alondra Blvd Unit A, Bellflower, CA 90706 Phone: 562-867-5117 Fax: 562-867-8343 | |
Jennifer Shin Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17024 Clark Ave Ste C, Bellflower, CA 90706 Phone: 213-810-1318 | |
Raymond Wang Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10318 E. Rosecrans Ave, Bellflower, CA 90706 Phone: 562-925-3765 Fax: 562-920-8500 | |
Shuchita Gupta, Dds ,inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 17832 Bellflower Blvd, Bellflower, CA 90706 Phone: 562-644-7769 | |
Roberto Nochez Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16411 Bellflower Blvd Ste 103, Bellflower, CA 90706 Phone: 562-471-7099 | |
Peter Wylan, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10318 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-925-3765 Fax: 562-920-2493 | |
Friedman Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10318 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-925-3765 |