Superhero Smiles
Dentist, Pediatric Dentistry in Oak Park, CA. Organization (NPI-2).
NPI number1164028452
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1164028452
- Entity type
- Organization (NPI-2)
- Legal business name
- Superhero Smiles
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Superhero Smiles (Doing Business As)
Practice location
368 Kanan RdOak Park, CA 91377-1111
Phone 818-233-8400
Mailing address
368 Kanan RdOak Park, CA 91377-1111
Authorized official
Annie Pilon
Office Manager
3239335919
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