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Organization
ALEXI KOSSI, DDS INC.
Active
Organization
ALEXI KOSSI, DDS INC.
Active
Other names
Smile City Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXI KOSSI DDS (PRESIDENT)
(661) 702-9595
Entity
Organization
Contact information
Practice address
19366 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91351-2629
(661) 252-8888
(661) 252-8808
Mailing address
19366 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91351-2629
(661) 252-8888
(661) 252-8808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42659-01
DENTI-CAL
CA
01
—
B42659-02
DENTI-CAL
CA
Enumeration date
08/21/2006
Last updated
07/30/2015
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