| La Smile Specialists | |
|
9777 Wilshire Blvd Ste 915 Beverly Hills CA 90212-1902 | |
| (310) 499-4525 | |
| Not Available |
| Full Name | La Smile Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9777 Wilshire Blvd Ste 915, Beverly Hills, California |
| Authorized Official Name and Position | Shawn Davaie Motlagh (OWNER/PARTNER) |
| Authorized Official Contact | 9493079144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Smile Specialists 9777 Wilshire Blvd Ste 915 Beverly Hills CA 90212-1902 Ph: (310) 499-4525 | La Smile Specialists 9777 Wilshire Blvd Ste 915 Beverly Hills CA 90212-1902 Ph: (310) 499-4525 |
| NPI Number | 1811617087 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811617087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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