Organization
SMILE IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J TEICH DDS (DENTIST)
(949) 732-1992
Entity
Organization
Contact information
Practice address
100 BAYVIEW CIRCLE, SOUTH TOWER, SUITE 600, NEWPORT BEACH, CA 92660
(949) 732-1992
(949) 509-7681
Mailing address
100 BAYVIEW CIRCLE, SOUTH TOWER, SUITE 600, NEWPORT BEACH, CA 92660
(949) 732-1992
(949) 509-7681
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
49682
CA
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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