| Smiles West | |
|
12252 Perris Blvd Ste B Moreno Valley CA 92557-7418 | |
| (951) 222-2000 | |
| Not Available |
| Full Name | Smiles West |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12252 Perris Blvd Ste B, Moreno Valley, California |
| Authorized Official Name and Position | Barouir Arshag Deirmenjian (OWNER/CEO) |
| Authorized Official Contact | 3104972211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles West 12640 Hesperia Rd Victorville CA 92395-7753 Ph: (760) 241-3336 | Smiles West 12252 Perris Blvd Ste B Moreno Valley CA 92557-7418 Ph: (951) 222-2000 |
| NPI Number | 1245716539 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245716539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40804 (California) | Primary |
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