Smiles For Miles
LBN: Smiles For Miles, Dental Office Of Dr Manosov P.C
Smiles For Miles is an health care organization with primary practice located at 2020 Coffee Rd Ste E , Modesto CA 95355-2427. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Smiles For Miles, Dental Office Of Dr Manosov P.C can be contacted via phone (209) 571-9855, or through Manosov, Lea via phone (209) 571-9855.
Contact Information
Primary practice address
2020 Coffee Rd Ste E
Modesto CA 95355-2427
Phone: (209) 571-9855
Fax: (209) 571-9874
Website:
Authorized official contact:
Name: Manosov, Lea Doctor of Dental Surgery (DDS)
Phone: (209) 571-9855
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48326 | California |
Profile Details
| NPI number | 1225169683 |
|---|---|
| LBN Legal business name | Smiles For Miles, Dental Office Of Dr Manosov P.C |
| DBA Doing business as | Smiles For Miles |
| Authorized official | Manosov, Lea Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 22nd, 2021 - about 5 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 | 1225169683 | NPPES |
| California | Other | G92664-01 | DENTI-CAL |
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