| Socal Smiles Dentistry | |
|
230 E 17th St Suite 208 Costa Mesa CA 92627-3824 | |
| (949) 645-0045 | |
| (949) 645-0055 |
| Full Name | Socal Smiles Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 230 E 17th St, Costa Mesa, California |
| Authorized Official Name and Position | Rinesh Ganatra (OWNER) |
| Authorized Official Contact | 9497660006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Smiles Dentistry 230 E 17th St Suite 208 Costa Mesa CA 92627-3824 Ph: (949) 645-0045 | Socal Smiles Dentistry 230 E 17th St Suite 208 Costa Mesa CA 92627-3824 Ph: (949) 645-0045 |
| NPI Number | 1508015603 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508015603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5007 (California) | Primary |
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