Smile Dental

LBN: Smile Dental
Smile Dental is an health care organization with primary practice located at 10920 Venice Blvd , Culver City CA 90232-3809. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Dental can be contacted via phone (310) 204-6661, or through Radulovich, Rad via phone (310) 204-6661.

Contact Information

Primary practice address
10920 Venice Blvd Culver City CA 90232-3809
Phone: (310) 204-6661
Fax: (310) 204-6662
Website:
Map and Directions
Authorized official contact:
Name: Radulovich, Rad Doctor of Dental Surgery (DDS)
Phone: (310) 204-6661

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 44531 California

Profile Details

NPI number 1811196249
LBN Legal business name Smile Dental
DBA Doing business as
Authorized official Radulovich, Rad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811196249 NPPES
California MEDICAID B44531-01
California Other 1679643001

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