| Smile Wide | |
|
25733 Barton Rd Loma Linda CA 92354-3812 | |
| (909) 798-2755 | |
| (909) 307-2098 |
| Full Name | Smile Wide |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 25733 Barton Rd, Loma Linda, California |
| Authorized Official Name and Position | Daniel H Lee (PRESIDENT) |
| Authorized Official Contact | 9097982755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wide 25733 Barton Rd Loma Linda CA 92354-3812 Ph: (909) 798-2755 | Smile Wide 25733 Barton Rd Loma Linda CA 92354-3812 Ph: (909) 798-2755 |
| NPI Number | 1548652688 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548652688 | NPI | - | NPPES |
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