| Smile Wide | |
|
1109 W 17th St Santa Ana CA 92706-3505 | |
| (714) 835-2383 | |
| (714) 835-3917 |
| Full Name | Smile Wide |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1109 W 17th St, Santa Ana, California |
| Authorized Official Name and Position | Kiavash Kevin Badii (DIRECTOR/OWNER) |
| Authorized Official Contact | 9495485588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wide 1109 W 17th St Santa Ana CA 92706-3505 Ph: (714) 835-2383 | Smile Wide 1109 W 17th St Santa Ana CA 92706-3505 Ph: (714) 835-2383 |
| NPI Number | 1912268939 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912268939 | NPI | - | NPPES |
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