Organization
ALEXI KOSSI, DDS INC.
Active
Other names
Smile City Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXI KOSSI DDS (PRESIDENT)
(661) 702-9595
Entity
Organization
Contact information
Practice address
19366 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91351-2629
(661) 252-8888
(661) 252-8808
Mailing address
19366 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91351-2629
(661) 252-8888
(661) 252-8808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42659-01
DENTI-CAL
CA
01
—
B42659-02
DENTI-CAL
CA
Enumeration date
08/21/2006
Last updated
07/30/2015
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