# SHAMS AND NABIZADEH DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** winnetka dental practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417283078
- **Authorized official:** TAMIR NISAN SHAMS DMD (DENTIST)
- **Authorized official phone:** (818) 676-0970

## Contact information

- **Practice address:** 7111 WINNETKA AVE, SUITE \#3, WINNETKA, CA 91306-3646
- **Practice address phone:** (818) 676-0970
- **Mailing address:** 7111 WINNETKA AVE, SUITE \#3, WINNETKA, CA 91306-3646
- **Mailing address phone:** (818) 676-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 56220 | CA | — |
| 302R00000X | Health Maintenance Organization | 56712 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 11/02/2009