Pacific Smile Dental Clinic in La Habra - Dentist

Pacific Smile Dental Clinic - NPI 1528220977

Pacific Smile Dental Clinic is a Dentist in La Habra, California. Pacific Smile Dental Clinic practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pacific Smile Dental Clinic is 1528220977. The last update date is 2008-06-26.

Pacific Smile Dental Clinic's current location address is 545 W La Habra Blvd, La Habra, California. You can contact this provider via phone number 5629052552 and fax number 5629052772. The mailing address for Pacific Smile Dental Clinic is 545 W La Habra Blvd, La Habra, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Smile Dental Clinic
Address 545 W La Habra Blvd, La Habra, California
Phone Number 5629052552
Fax Number 5629052772
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Alaniz Roberto
Credentials D.D.S
Telephone Number 5629052552

NPI Number Detail

NPI Number 1528220977
Provider Enumeration Date 2008-06-26
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 545 W La Habra Blvd
City La Habra
State California (CA)
Post Code 906315307
Phone Number 5629052552
Fax Number 5629052772

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D47031
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G89574-01 CA --

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FAQs about Pacific Smile Dental Clinic

What is the unique 10-digit identifier code issued to Pacific Smile Dental Clinic by the Centers for Medicare & Medicaid Services?

The Pacific Smile Dental Clinic has been assigned the NPI (National Provider Identifier) 1528220977 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Pacific Smile Dental Clinic is located?

The Pacific Smile Dental Clinic is situated at the following address: 545 W La Habra Blvd, La Habra, CA, 906315307.

What is Pacific Smile Dental Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pacific Smile Dental Clinic's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528220977 to Pacific Smile Dental Clinic?

The Centers for Medicare & Medicaid Services originally issued the 1528220977 to Pacific Smile Dental Clinic on 2008-06-26.

As of what date were the details related to Pacific Smile Dental Clinic most recently updated or revised?

The information pertaining to Pacific Smile Dental Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-26.

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