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Organization
PACIFIC SMILE DENTAL CLINIC
Active
Organization
PACIFIC SMILE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO ALANIZ II D.D.S (DENTIST)
(562) 905-2552
Entity
Organization
Contact information
Practice address
545 W LA HABRA BLVD, LA HABRA, CA 90631-5307
(562) 905-2552
(562) 905-2772
Mailing address
545 W LA HABRA BLVD, LA HABRA, CA 90631-5307
(562) 905-2552
(562) 905-2772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D47031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G89574-01
—
CA
Enumeration date
06/26/2008
Last updated
06/26/2008
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