Organization
FOREVER SMILES PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSSAMA MURAD SAFAR (CEO)
(909) 896-0509
Entity
Organization
Contact information
Practice address
641 W ROUTE 66, #E, GLENDORA, CA 91740-4149
(909) 896-0509
Mailing address
641 W ROUTE 66, #E, GLENDORA, CA 91740-4149
(909) 896-0509
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
55303
CA
Other
Enumeration date
02/03/2009
Last updated
02/04/2009
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