Smile 90210 LLC
NPI #1013271105 in Beverly Hills, California
Provider Information
- NPI Number
- 1013271105
- Entity Type
- Organization
- Organization Name
- Smile 90210 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 3, 2012
- Last Updated
- Jul 3, 2012
Practice Location
- Address
- 416 N BEDFORD DR
- Address 2
- SUITE 102
- City
- Beverly Hills
- State
- California
- ZIP Code
- 90210-4322
- Phone
- (310) 273-6637
Authorized Official
- Name
- DR. TOM KALILI
- Title
- DENTIST/OWNER
- Phone
- (310) 273-6637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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