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Organization
ISMILESPA, INC.
Active
Organization
ISMILESPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MALEK (PRESIDENT)
(831) 462-6500
Entity
Organization
Contact information
Practice address
3337 MISSION DR, SANTA CRUZ, CA 95065-1827
(831) 462-6500
Mailing address
3337 MISSION DR, SANTA CRUZ, CA 95065-1827
(831) 462-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62157
CA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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