| Smilewell Dental | |
|
13564 Van Nuys Blvd Pacoima CA 91331-3054 | |
| (818) 897-5771 | |
| Not Available |
| Full Name | Smilewell Dental |
|---|---|
| Speciality | Dentist |
| Location | 13564 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Arlene F Young (MANAGER) |
| Authorized Official Contact | 6199296899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilewell Dental 13564 Van Nuys Blvd Pacoima CA 91331-3054 Ph: (818) 897-5771 | Smilewell Dental 13564 Van Nuys Blvd Pacoima CA 91331-3054 Ph: (818) 897-5771 |
| NPI Number | 1245547009 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 01/03/2022 |
| Medicare PECOS PAC ID | 1557686482 |
|---|---|
| Medicare Enrollment ID | O20150217000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245547009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56049 (California) | Primary |
| Provider Name | Parham Ramtin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174716880 PECOS PAC ID: 2466777396 Enrollment ID: I20150217000707 |
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