Organization · NPI-2

All Smiles Dental

Dentist, General Practice · Westminster, CA

NPI number1619429693
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1619429693
Entity type
Organization (NPI-2)
Legal business name
All Smiles Dental
Organization subpart
No
Enumeration date
Oct 26, 2016
Last updated
Nov 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice58860CAYes

Practice location

9361 Bolsa Avenue
Suite #102
Westminster, CA 92683

Phone 714-486-1279

Mailing address

9361 Bolsa Avenue
Suite #102
Westminster, CA 92683

Phone 714-486-1279

Authorized official

James Tran
Dentist
7144861279

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