# ALEJANDRA TAVERAS, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Smile Dental Groups
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861798639
- **Authorized official:** DR. ALEJANDRA TAVERAS (DENTIST)
- **Authorized official phone:** (818) 884-4422

## Contact information

- **Practice address:** 7300 TOPANGA CANYON BLVD, SUITE \#6, CANOGA PARK, CA 91303-3333
- **Practice address phone:** (818) 884-4422
- **Practice address fax:** (818) 884-4773
- **Mailing address:** 7300 TOPANGA CANYON BLVD, SUITE \#6, CANOGA PARK, CA 91303-3333
- **Mailing address phone:** (818) 884-4422
- **Mailing address fax:** (818) 884-4773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 58328 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 01/26/2011