| Sun Smile Dental Group | |
|
1582 W San Marcos Blvd Suite 201 San Marcos CA 92078-4081 | |
| (760) 744-1300 | |
| (760) 744-1342 |
| Full Name | Sun Smile Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1582 W San Marcos Blvd, San Marcos, California |
| Authorized Official Name and Position | Shishir Navinchandra Shah (PRESIDENT) |
| Authorized Official Contact | 7607441300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Smile Dental Group 1582 W San Marcos Blvd Suite 201 San Marcos CA 92078-4081 Ph: (760) 744-1300 | Sun Smile Dental Group 1582 W San Marcos Blvd Suite 201 San Marcos CA 92078-4081 Ph: (760) 744-1300 |
| NPI Number | 1144680661 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144680661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5402 (California) | Primary |
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