| Smile Paradise Orthodontics, Inc. | |
|
2011 Ross Ave El Centro CA 92243-3686 | |
| (760) 370-0770 | |
| (760) 370-0774 |
| Full Name | Smile Paradise Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2011 Ross Ave, El Centro, California |
| Authorized Official Name and Position | Richard Gutierrez (ORTHODONTIST) |
| Authorized Official Contact | 7603700770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Paradise Orthodontics, Inc. 2011 Ross Ave El Centro CA 92243-3686 Ph: (760) 370-0770 | Smile Paradise Orthodontics, Inc. 2011 Ross Ave El Centro CA 92243-3686 Ph: (760) 370-0770 |
| NPI Number | 1962558981 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962558981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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