| Smile Wide | |
|
1920 Main Street Suite 970 Irvine CA 92614 | |
| (949) 596-8100 | |
| Not Available |
| Full Name | Smile Wide |
|---|---|
| Speciality | Dentist |
| Location | 1920 Main Street, Irvine, California |
| Authorized Official Name and Position | Kiavash Kevin Badii (PRESIDENT) |
| Authorized Official Contact | 9495968100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wide 128 White Flower Irvine CA 92603 Ph: () - | Smile Wide 1920 Main Street Suite 970 Irvine CA 92614 Ph: (949) 596-8100 |
| NPI Number | 1720459506 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720459506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54538 (California) | Primary |
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