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Organization
SHAMS AND NABIZADEH DENTAL CORPORATION
Active
Organization
SHAMS AND NABIZADEH DENTAL CORPORATION
Active
Other names
winnetka dental practice
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIR NISAN SHAMS DMD (DENTIST)
(818) 676-0970
Entity
Organization
Contact information
Practice address
7111 WINNETKA AVE, SUITE #3, WINNETKA, CA 91306-3646
(818) 676-0970
Mailing address
7111 WINNETKA AVE, SUITE #3, WINNETKA, CA 91306-3646
(818) 676-0970
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
56220
CA
302R00000X
Health Maintenance Organization
Primary
56712
CA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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