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Organization
SHEPARD & DOS SANTOS DENTAL CORPORATION
Active
Organization
SHEPARD & DOS SANTOS DENTAL CORPORATION
Active
Other names
Aero Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WOLF DOS SANTOS DA (CEO)
(424) 277-1138
Entity
Organization
Contact information
Practice address
310 E GRAND AVE STE 102, EL SEGUNDO, CA 90245-3871
(760) 453-5702
Mailing address
310 E GRAND AVE STE 102, EL SEGUNDO, CA 90245-3871
(760) 453-5702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41704
CA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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