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Organization

SIMONNE PEREIRA PATRIC DDS , CORPORATION

Active
Other names
SMILE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
SIMONNE PEREIRA PATRICK DDS (PRESIDENT)
(916) 600-3221
Entity
Organization

Contact information

Practice address
3535 ELVERTA RD STE E, ANTELOPE, CA 95843-4721
(916) 692-8633
(916) 692-8638
Mailing address
3535 ELVERTA RD STE E, ANTELOPE, CA 95843-4721
(916) 692-8633
(916) 692-8638

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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