| Summer Smile Dental | |
|
1239 N Avalon Blvd Ste A Wilmington CA 90744-2601 | |
| (310) 518-2697 | |
| (310) 518-6864 |
| Full Name | Summer Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1239 N Avalon Blvd Ste A, Wilmington, California |
| Authorized Official Name and Position | Dona Torbati (OWNER) |
| Authorized Official Contact | 3109270785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Smile Dental 1239 N Avalon Blvd Ste A Wilmington CA 90744-2601 Ph: (310) 518-2697 | Summer Smile Dental 1239 N Avalon Blvd Ste A Wilmington CA 90744-2601 Ph: (310) 518-2697 |
| NPI Number | 1669120374 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669120374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Iraj Nouri Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1239 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-518-2697 Fax: 310-518-6864 | |
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