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Organization
KAIS CHEBBI DDS INC
Active
Organization
KAIS CHEBBI DDS INC
Active
Other names
culver smile dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA SAMANO (MANAGER)
(310) 204-3368
Entity
Organization
Contact information
Practice address
10814 JEFFERSON BLVD, SUITE G, CULVER CITY, CA 90230-4994
(310) 204-3368
(310) 204-0550
Mailing address
10814 JEFFERSON BLVD, SUITE G, CULVER CITY, CA 90230-4994
(310) 204-3368
(310) 204-0550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801285200
DENTAL
CA
Enumeration date
03/30/2015
Last updated
03/30/2015
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