Smile Wide | |
1801 Newport Blvd Suite B Costa Mesa CA 92627-2701 | |
(949) 548-5588 | |
(949) 548-5731 |
Full Name | Smile Wide |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1801 Newport Blvd, Costa Mesa, California |
Authorized Official Name and Position | Daniel Harvey Lee (DIRECTOR/OWNER) |
Authorized Official Contact | 9495485588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Wide 1801 Newport Blvd Suite B Costa Mesa CA 92627-2701 Ph: (949) 548-5588 | Smile Wide 1801 Newport Blvd Suite B Costa Mesa CA 92627-2701 Ph: (949) 548-5588 |
NPI Number | 1285995209 |
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Provider Enumeration Date | 06/06/2012 |
Last Update Date | 11/29/2016 |
Identifier | Type | State | Issuer |
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1285995209 | NPI | - | NPPES |
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