Healthcare Provider Details

I. General information

NPI: 1013462282
Provider Name (Legal Business Name): ALL SMILES DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26700 TOWNE CENTRE DR SUITE 160
FOOTHILL RANCH CA
92610-2844
US

IV. Provider business mailing address

26700 TOWN CENTRE SUITE 160
FOOTHILL RANCH CA
92610
US

V. Phone/Fax

Practice location:
  • Phone: 949-581-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS64898
License Number StateCA

VIII. Authorized Official

Name: AARON SALIMNIA
Title or Position: DENTIST
Credential: D.D.S
Phone: 909-979-7975