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Organization
LASTING SMILES OF WEST COVINA
Active
Organization
LASTING SMILES OF WEST COVINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAM GHODSI DDS (PRESIDENT)
(714) 206-3762
Entity
Organization
Contact information
Practice address
1710 W CAMERON AVE STE 100, WEST COVINA, CA 91790-2720
(626) 962-4428
(626) 962-9789
Mailing address
PO BOX 18538, ANAHEIM, CA 92817-8538
(626) 962-4428
(626) 962-9789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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