Organization
NEW SMILE DENTAL STUDIO
Active
Other names
new smile dental studio
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E MARTINEZ D.D.S (PRESIDENT)
(818) 547-4398
Entity
Organization
Contact information
Practice address
204 E CHEVY CHASE DR STE 1, GLENDALE, CA 91205-3182
(626) 547-4398
Mailing address
204 E CHEVY CHASE DR STE 1, GLENDALE, CA 91205-3182
(626) 547-4398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
08/25/2021
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