Organization
SMILEGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHMUEL SAMOHA DDS (OWNER)
(818) 430-9207
Entity
Organization
Contact information
Practice address
2730 GANAHL ST RM 25A, LOS ANGELES, CA 90033-2019
(323) 269-0415
Mailing address
5805 WHITE OAK AVE # 16714, ENCINO, CA 91316-1150
(818) 430-9207
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
10/24/2022
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