Organization
COMMUNITY DENTAL SERVICES
Active
Other names
SmileCare Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE SALCIDO (CONTRACT SUPERVISOR)
(714) 708-5308
Entity
Organization
Contact information
Practice address
1809 VERDUGO BLVD, SUITE 340, GLENDALE, CA 91208-1402
(818) 790-0581
(818) 790-0251
Mailing address
2 MACARTHUR PL, SUITE 700, SANTA ANA, CA 92707-5924
(714) 708-5308
(714) 708-5399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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