Smile Studio
NPI #1710376249 in Upland, California
Provider Information
- NPI Number
- 1710376249
- Entity Type
- Organization
- Organization Name
- Smile Studio
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jun 7, 2015
Practice Location
- Address
- 190 N MOUNTAIN AVE
- City
- Upland
- State
- California
- ZIP Code
- 91786-5708
- Phone
- (909) 981-6400
Authorized Official
- Name
- DR. PHIL RA, DDS
- Title
- OWNER/DENTIST
- Phone
- (909) 981-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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