Jack Shabanian

NPI #1417356056 in Hawthorne, California

Provider Information

NPI Number
1417356056
Entity Type
Individual
Name
Jack Shabanian
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Aug 20, 2014
Last Updated
Aug 20, 2014

Practice Location

Address
11701 HAWTHORNE BLVD
ZIP Code
90250-2317
Phone
(310) 676-0145

Specialties & Taxonomy Codes

Specialty
Dentist

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