| Dream Smiles Dental Arts | |
|
6360 Wilshire Blvd Ste 510 Los Angeles CA 90048-5601 | |
| (323) 655-0865 | |
| (323) 655-0868 |
| Full Name | Dream Smiles Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 6360 Wilshire Blvd Ste 510, Los Angeles, California |
| Authorized Official Name and Position | Nelly Bezimyansky (OWNER) |
| Authorized Official Contact | 3236550865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Smiles Dental Arts 6360 Wilshire Blvd Ste 510 Los Angeles CA 90048-5601 Ph: (323) 655-0865 | Dream Smiles Dental Arts 6360 Wilshire Blvd Ste 510 Los Angeles CA 90048-5601 Ph: (323) 655-0865 |
| NPI Number | 1124411384 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 2264752716 |
|---|---|
| Medicare Enrollment ID | O20150522001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124411384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50040 (California) | Primary |
| Provider Name | Nelly Bezimyansky |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972525855 PECOS PAC ID: 6103144175 Enrollment ID: I20150522001587 |
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