Shanabo Dental Corporation
NPI #1801453337 in Baldwin Park, California
Provider Information
- NPI Number
- 1801453337
- Entity Type
- Organization
- Organization Name
- Shanabo Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 21, 2019
- Last Updated
- May 21, 2019
Practice Location
- Address
- 14607 RAMONA BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-3465
- Phone
- (626) 960-5108
Authorized Official
- Name
- SHAZA SHANABO
- Title
- PRESIDENT
- Phone
- (909) 438-4567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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