Thai Smile Dental Care
LBN: Jiravat Wangwongvivat, D.D.S. , A Professional Corporation
Thai Smile Dental Care is an health care organization with primary practice located at 12724 Sherman Way , North Hollywood CA 91605-5031. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Jiravat Wangwongvivat, D.D.S. , A Professional Corporation can be contacted via phone (818) 765-8280, or through Wangwongvivat, Jiravat via phone (818) 765-8280.
Contact Information
Primary practice address
12724 Sherman Way
North Hollywood CA 91605-5031
Phone: (818) 765-8280
Fax: (818) 765-8454
Website:
Authorized official contact:
Name: Wangwongvivat, Jiravat Doctor of Dental Surgery (DDS)
Phone: (818) 765-8280
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 40201 | California |
Profile Details
| NPI number | 1912996455 |
|---|---|
| LBN Legal business name | Jiravat Wangwongvivat, D.D.S. , A Professional Corporation |
| DBA Doing business as | Thai Smile Dental Care |
| Authorized official | Wangwongvivat, Jiravat Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912996455 | NPPES |
| California | Other | B40201-01 | MEDI-CAL I. D. NUMBER |
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