| Delta Dental Smile | |
|
962 Luther Dr Spring Valley CA 91977-5262 | |
| (971) 999-3399 | |
| Not Available |
| Full Name | Delta Dental Smile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 962 Luther Dr, Spring Valley, California |
| Authorized Official Name and Position | Atul Chauhan Sood (FOUNDER) |
| Authorized Official Contact | 9719993399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Dental Smile 962 Luther Dr Spring Valley CA 91977-5262 Ph: (971) 999-3399 | Delta Dental Smile 962 Luther Dr Spring Valley CA 91977-5262 Ph: (971) 999-3399 |
| NPI Number | 1922788330 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922788330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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