| Smile Studio La | |
|
19755 Mariposa Creek Way Northridge CA 91326-4107 | |
| (818) 368-0243 | |
| Not Available |
| Full Name | Smile Studio La |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19755 Mariposa Creek Way, Northridge, California |
| Authorized Official Name and Position | John J. Cho (OWNER) |
| Authorized Official Contact | 8187880905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Studio La 16311 Ventura Blvd Suite 527 Encino CA 91436-2124 Ph: (818) 788-0905 | Smile Studio La 19755 Mariposa Creek Way Northridge CA 91326-4107 Ph: (818) 368-0243 |
| NPI Number | 1295105724 |
|---|---|
| Provider Enumeration Date | 09/26/2015 |
| Last Update Date | 09/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295105724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44464 (California) | Primary |
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