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Organization

SHAVEISI DANIAL DMDS INC.

Active
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Organization

SHAVEISI DANIAL DMDS INC.

Active
Other names
cord family dental care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IRENE RENTERIA (MANAGER)
(562) 949-2526
Entity
Organization

Contact information

Practice address
8716 CORD AVE, PICO RIVERA, CA 90660-5507
(562) 949-2526
(562) 949-9231
Mailing address
8716 CORD AVE, PICO RIVERA, CA 90660-5507
(562) 949-2526
(562) 949-9231

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47798
CA
1223G0001X
General Practice Dentistry
Primary
55465
CA

Other

Enumeration date
05/21/2007
Last updated
08/22/2007
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