| Smile Design Studio | |
|
19524 Nordhoff St Ste 3b Northridge CA 91324-2430 | |
| (818) 477-3539 | |
| (818) 477-3540 |
| Full Name | Smile Design Studio |
|---|---|
| Speciality | Dentist |
| Location | 19524 Nordhoff St Ste 3b, Northridge, California |
| Authorized Official Name and Position | Jessica Ana Lizana (GENERAL DENTIST) |
| Authorized Official Contact | 8184773539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Studio 19524 Nordhoff St Ste 3b Northridge CA 91324-2430 Ph: (818) 477-3539 | Smile Design Studio 19524 Nordhoff St Ste 3b Northridge CA 91324-2430 Ph: (818) 477-3539 |
| NPI Number | 1194104778 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194104778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55326 (California) | Primary |
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