E.Moawad Dental Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DDS48335 Issued in CA

Legal business name

E.MOAWAD DENTAL CORPORATION

Doing business as

Quality Smiles

Practice address

402 S Long Beach Blvd
Compton, CA 90221-3428

Phone

(310) 537-7615

Fax

(310) 537-7659

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gabriela Castillo

Title

Office Manager

Phone

(310) 537-7615

Specialties & licenses 1

Addresses

Other names 1

• QUALITY SMILES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1841735511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213428",
            "telephone_number": "310-537-7615",
            "fax_number": "310-537-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213428",
            "telephone_number": "310-537-7615",
            "fax_number": "310-537-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.MOAWAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-537-7615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "DDS48335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Compton, CA
• Providers in Compton, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.