Organization
SUPERHERO SMILES
Active
Other names
Superhero Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE PILON (OFFICE MANAGER)
(323) 933-5919
Entity
Organization
Contact information
Practice address
368 KANAN RD, OAK PARK, CA 91377-1111
(818) 233-8400
Mailing address
368 KANAN RD, OAK PARK, CA 91377-1111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59649
N/A
CA
Enumeration date
12/10/2020
Last updated
01/14/2021
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