Smile Community Clinic INC

NPI #1457878415 in San Marcos, California

Provider Information

NPI Number: 1457878415
Entity Type: Organization
Organization Name: Smile Community Clinic INC
Primary Specialty: Dentist
Enumeration Date: Aug 29, 2017
Last Updated: Aug 29, 2017

Practice Location

Address: 670 W. SAN MARCOS BLVD. STE 103-B
City: San Marcos
State: California
ZIP Code: 92078
Phone: (760) 471-9292

Authorized Official

Name: VIDA NAMAVAR, DDS
Title: OFFICER
Phone: (760) 471-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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