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Organization
NEW SMILE DENTAL
Active
Organization
NEW SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUNEL D.M.D (GENERAL DOCTOR)
(310) 674-5555
Entity
Organization
Contact information
Practice address
405 S LA BREA AVE, INGLEWOOD, CA 90301-2321
(310) 674-5555
Mailing address
405 S LA BREA AVE, INGLEWOOD, CA 90301-2321
(310) 674-5555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54602
CA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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