| Wormser Smiles Dental Office Inc | |
|
910 Via De La Paz Suite 108 Pacific Palisades CA 90272-3515 | |
| (310) 454-3732 | |
| (310) 459-2245 |
| Full Name | Wormser Smiles Dental Office Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 Via De La Paz, Pacific Palisades, California |
| Authorized Official Name and Position | Ronald Philip Wormser (OWNER) |
| Authorized Official Contact | 3104543732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wormser Smiles Dental Office Inc 910 Via De La Paz 108 Pacific Palisades CA 90272-3515 Ph: (310) 454-3732 | Wormser Smiles Dental Office Inc 910 Via De La Paz Suite 108 Pacific Palisades CA 90272-3515 Ph: (310) 454-3732 |
| NPI Number | 1659811065 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659811065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28832 (California) | Primary |
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