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Organization
SHVARTSMAN SHIMADA DENTAL PARTNERSHIP
Active
Organization
SHVARTSMAN SHIMADA DENTAL PARTNERSHIP
Active
Parent organization
SHVARTSMAN SHIMADA DENTAL PARTNERSHIP
Other names
South Redondo Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHVARTSMAN SHIMADA DENTAL PARTNERSHIP
Authorized official
DR. KELLY A SHIMADA DDS (PARTNER)
(310) 792-8610
Entity
Organization
Contact information
Practice address
1711 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5714
(310) 792-8610
Mailing address
1711 VIA EL PRADO STE 400, REDONDO BEACH, CA 90277-5714
(310) 792-8610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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