| Smiles West Dental And Braces Of Huntington Park | |
|
5501 Pacific Blvd Huntington Park CA 90255-2534 | |
| (323) 586-0600 | |
| Not Available |
| Full Name | Smiles West Dental And Braces Of Huntington Park |
|---|---|
| Speciality | Dentist |
| Location | 5501 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Barouir Ashrag Deirmenjian (PRESIDENT) |
| Authorized Official Contact | 8557053434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles West Dental And Braces Of Huntington Park 15643 Sherman Way Suite 220 Van Nuys CA 91406-4135 Ph: (855) 705-3434 | Smiles West Dental And Braces Of Huntington Park 5501 Pacific Blvd Huntington Park CA 90255-2534 Ph: (323) 586-0600 |
| NPI Number | 1376077289 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376077289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40804 (California) | Primary |
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