# CHARMING SMILES INC. DENTAL HYGIENE,PRACTICE OF DOMINIQUE SUBER,RDHAP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charming Smiles Dental Hygiene Inc, Practice of Dominique Suber, RDHAP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740013226
- **Authorized official:** DOMINIQUE SHANEY SUBER RDHAP (OWNER)
- **Authorized official phone:** (925) 421-8302

## Contact information

- **Practice address:** 3175 PUFFIN CIR, FAIRFIELD, CA 94533-8914
- **Practice address phone:** (925) 421-8302
- **Mailing address:** 3175 PUFFIN CIR, FAIRFIELD, CA 94533-8914
- **Mailing address phone:** (925) 421-8302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 09/19/2024