| Smile Works, A Dental Group Of Farukhi P.c. | |
|
15018 La Mirada Blvd La Mirada CA 90638-4743 | |
| (714) 521-6827 | |
| Not Available |
| Full Name | Smile Works, A Dental Group Of Farukhi P.c. |
|---|---|
| Speciality | Dentist |
| Location | 15018 La Mirada Blvd, La Mirada, California |
| Authorized Official Name and Position | Mohammad Shiraz Haider (SECRETARY) |
| Authorized Official Contact | 9493029124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Works, A Dental Group Of Farukhi P.c. 3116 E Woodbine Rd Orange CA 92867-2090 Ph: (949) 302-9124 | Smile Works, A Dental Group Of Farukhi P.c. 15018 La Mirada Blvd La Mirada CA 90638-4743 Ph: (714) 521-6827 |
| NPI Number | 1578941977 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 04/09/2020 |
| Medicare PECOS PAC ID | 4587912944 |
|---|---|
| Medicare Enrollment ID | O20180801003907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578941977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 64017 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 57840 (California) | Secondary |
| Provider Name | Mohammad Shiraz Haider |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134484900 PECOS PAC ID: 5496003857 Enrollment ID: I20180801003947 |
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