# SMILENDODONTICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437686482
- **Authorized official:** MICHELLE DANG (ENDODONTIST)
- **Authorized official phone:** (626) 552-8207

## Contact information

- **Practice address:** 9520 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5145
- **Practice address phone:** (714) 587-9041
- **Mailing address:** 9520 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 60157 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2017
- **Last updated:** 05/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205148921 | ENDODONTIST | CA |