Provider Demographics
NPI:1972013928
Name:WORLD SMILES DENTAL MANAGEMENT INC
Entity Type:Organization
Organization Name:WORLD SMILES DENTAL MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAO
Authorized Official - Middle Name:Q
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-879-8118
Mailing Address - Street 1:1417 W WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5119
Mailing Address - Country:US
Mailing Address - Phone:714-879-8118
Mailing Address - Fax:714-486-2705
Practice Address - Street 1:1417 W WARNER AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5119
Practice Address - Country:US
Practice Address - Phone:714-879-8118
Practice Address - Fax:714-486-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X
CA100004261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental