Organization
DANIEL A MATATIAHO DDS INC
Active
Other names
West Hollywood Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AARON MATATIAHO (CEO)
(323) 654-1100
Entity
Organization
Contact information
Practice address
8205 SANTA MONICA BLVD STE 12, W HOLLYWOOD, CA 90046-5963
(323) 654-1100
Mailing address
8205 SANTA MONICA BLVD STE 12, W HOLLYWOOD, CA 90046-5963
(323) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
02/05/2025
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