Organization
KAIS CHEBBI DDS INC
Active
Other names
culver smile dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA SAMANO (MANAGER)
(310) 204-3368
Entity
Organization
Contact information
Practice address
10814 JEFFERSON BLVD, SUITE G, CULVER CITY, CA 90230-4994
(310) 204-3368
(310) 204-0550
Mailing address
10814 JEFFERSON BLVD, SUITE G, CULVER CITY, CA 90230-4994
(310) 204-3368
(310) 204-0550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801285200
DENTAL
CA
Enumeration date
03/30/2015
Last updated
03/30/2015
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