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Organization
WORMSER SMILES DENTAL OFFICE INC
Active
Organization
WORMSER SMILES DENTAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PHILIP WORMSER D.M.D. (OWNER)
(310) 454-3732
Entity
Organization
Contact information
Practice address
910 VIA DE LA PAZ, SUITE 108, PACIFIC PALISADES, CA 90272-3515
(310) 454-3732
(310) 459-2245
Mailing address
910 VIA DE LA PAZ, 108, PACIFIC PALISADES, CA 90272-3515
(310) 454-3732
(310) 459-2245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28832
CA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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