Jack Shabanian, D.d.s. Inc.

NPI #1538249222 in Hawthorne, California

Provider Information

NPI Number: 1538249222
Entity Type: Organization
Organization Name: Jack Shabanian, D.d.s. Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 11701 HAWTHORNE BLVD
City: Hawthorne
State: California
ZIP Code: 90250-2317
Phone: (310) 676-0145

Authorized Official

Name: DR. JACK SHABANIAN, D.D.S.
Title: PRESIDENT
Phone: (310) 676-0145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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