| Smile Wide | |
|
1001 W Carson St Ste H Torrance CA 90502-2051 | |
| (310) 618-1522 | |
| (562) 618-9272 |
| Full Name | Smile Wide |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1001 W Carson St Ste H, Torrance, 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 1920 Main St Ste 970 Irvine CA 92614-8275 Ph: (949) 596-8100 | Smile Wide 1001 W Carson St Ste H Torrance CA 90502-2051 Ph: (310) 618-1522 |
| NPI Number | 1225428717 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225428717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (California) | Primary |
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