| NPI | 1568680700 |
|---|---|
| Doing Business As | SMILES WEST |
| Entity Type | Organization |
| Authorized Contact | BAROUIR DEIRMENJIAN CEO 310-923-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223G0001X Dentist General Practice | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-08-03 |