Smile San Clemente

LBN: Shahin Mahallati Dental Corp
Smile San Clemente is an health care organization with primary practice located at 653 Camino De Los Mares Ste 113 , San Clemente CA 92673-2856. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shahin Mahallati Dental Corp can be contacted via phone (949) 248-7772, or through Mahallati, Shahin via phone (949) 248-7772.

Contact Information

Primary practice address
653 Camino De Los Mares Ste 113 San Clemente CA 92673-2856
Phone: (949) 248-7772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mahallati, Shahin Doctor of Dental Surgery (DDS)
Phone: (949) 248-7772

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1962043919
LBN Legal business name Shahin Mahallati Dental Corp
DBA Doing business as Smile San Clemente
Authorized official Mahallati, Shahin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2019
Last updated Nov 10th, 2021 - about 3 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.

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