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Organization
STANLEY TOM, A DENTAL CORPORATION
Active
Organization
STANLEY TOM, A DENTAL CORPORATION
Active
Other names
The Perfect Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY T TOM DDS (PRESIDENT)
(626) 627-9127
Entity
Organization
Contact information
Practice address
501 S GARFIELD AVE, ALHAMBRA, CA 91801-3840
(626) 570-1818
Mailing address
501 S GARFIELD AVE, ALHAMBRA, CA 91801-3840
(626) 570-1818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
41684
CA
122300000X
Dentist
42589
CA
122300000X
Dentist
Primary
46987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100-857328
SELLER PERMIT
CA
01
—
47923
BUSINESS LICENSE NUMBER
CA
01
—
F-01013
CERTIFICATE OF OCCUPANCY
CA
01
—
FAC64331
RADIATION MACHINE REG
CA
Enumeration date
02/15/2008
Last updated
02/15/2008
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