Organization
SUNNY SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELA REED D.D.S. (DENTIST)
(619) 475-5767
Entity
Organization
Contact information
Practice address
2240 EAST PLAZA BLVD., SUITE Q, NATIONAL CITY, CA 91950-5166
(619) 475-5767
Mailing address
2240 EAST PLAZA BLVD., SUITE Q, NATIONAL CITY, CA 91950-5166
(619) 475-5767
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
54195
CA
305R00000X
Preferred Provider Organization
Primary
54195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750574851
PERSONAL NPI
CA
Enumeration date
06/03/2016
Last updated
06/03/2016
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