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
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-2317
- Phone
- (310) 676-0145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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