| Smile 90210 Llc | |
|
416 N Bedford Dr Suite 102 Beverly Hills CA 90210-4322 | |
| (310) 273-6637 | |
| (310) 273-2138 |
| Full Name | Smile 90210 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 416 N Bedford Dr, Beverly Hills, California |
| Authorized Official Name and Position | Tom Kalili (DENTIST/OWNER) |
| Authorized Official Contact | 3102736637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile 90210 Llc 416 N Bedford Dr Suite 102 Beverly Hills CA 90210-4322 Ph: (310) 273-6637 | Smile 90210 Llc 416 N Bedford Dr Suite 102 Beverly Hills CA 90210-4322 Ph: (310) 273-6637 |
| NPI Number | 1013271105 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013271105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34503 (Massachusetts) | Primary |
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