SMILE 90210 LLC NPI 1013271105

NPI Information

SMILE 90210 LLC is a general practice dentist in Beverly Hills, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE 90210 LLC NPI is 1013271105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

416 N BEDFORD DR
SUITE 102
BEVERLY HILLS, CA
ZIP 90210-322
Phone: (310) 273-6637
Fax: (310) 273-2138

The provider's authorized official is Tom Kalili .
The authorized official title is Dentist/owner and has the following contact phone number (310) 273-6637.

The enumeration date for this NPI number is 7/3/2012 and was last updated on 7/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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