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Organization
S. SHAUN DANESHGAR DMD INC
Active
Organization
S. SHAUN DANESHGAR DMD INC
Active
Other names
DENTAL COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANESHGAR (MANAGER)
(323) 835-6123
Entity
Organization
Contact information
Practice address
2505 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-3003
(310) 701-0770
Mailing address
2771 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5750
(310) 701-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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