Shepard & Dos Santos Dental Corporation

NPI #1548707441 in El Segundo, California

Provider Information

NPI Number: 1548707441
Entity Type: Organization
Organization Name: Shepard & Dos Santos Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 310 E GRAND AVE STE 102
City: El Segundo
State: California
ZIP Code: 90245-3871
Phone: (760) 453-5702

Authorized Official

Name: MRS. AMANDA WOLF DOS SANTOS, DA
Title: CEO
Phone: (424) 277-1138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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