| Wow Smiles | |
|
1620 Valle Vista Ave Suite 200 Vallejo CA 94589 | |
| (707) 575-0600 | |
| Not Available |
| Full Name | Wow Smiles |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1620 Valle Vista Ave, Vallejo, California |
| Authorized Official Name and Position | Rael Ilan Bernstein (PRESIDENT) |
| Authorized Official Contact | 7075750600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wow Smiles 1620 Valle Vista Ave Suite 200 Vallejo CA 94589 Ph: (707) 575-0600 | Wow Smiles 1620 Valle Vista Ave Suite 200 Vallejo CA 94589 Ph: (707) 575-0600 |
| NPI Number | 1508103219 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508103219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 46245 (California) | Primary |
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