David Shen Dental Corp

NPI #1992859409 in Hercules, California

Provider Information

NPI Number: 1992859409
Entity Type: Organization
Organization Name: David Shen Dental Corp
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 500 ALFRED NOBEL DRIVE #125
City: Hercules
State: California
ZIP Code: 94547
Phone: (510) 741-8808

Authorized Official

Name: DR. DAVID T SHEN, DMD
Title: CHIEF FINANCIAL OFFICER
Phone: (650) 589-4563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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