| Smiles Dental Group | |
|
18520 Soledad Canyon Rd Ste G Canyon Country CA 91351-3731 | |
| (661) 252-2800 | |
| (661) 252-2810 |
| Full Name | Smiles Dental Group |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 18520 Soledad Canyon Rd Ste G, Canyon Country, California |
| Authorized Official Name and Position | Irina Shahinyan (PRESIDENT) |
| Authorized Official Contact | 6612522800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Dental Group 18520 Soledad Canyon Rd Ste G Canyon Country CA 91351-3731 Ph: (661) 252-2800 | Smiles Dental Group 18520 Soledad Canyon Rd Ste G Canyon Country CA 91351-3731 Ph: (661) 252-2800 |
| NPI Number | 1245567734 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245567734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53730 (California) | Secondary |
| 305R00000X | Preferred Provider Organization | 53730 (California) | Primary |
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