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Organization
HENRY SHAFAJOO D.D.S INC
Active
Organization
HENRY SHAFAJOO D.D.S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY SHAFAJOO D.D.S (OWNER)
(323) 583-1481
Entity
Organization
Contact information
Practice address
2639 SANTA ANA ST, SOUTH GATE, CA 90280-2025
(323) 583-1481
(323) 583-7301
Mailing address
2639 SANTA ANA ST, SOUTH GATE, CA 90280-2025
(323) 583-1481
(323) 583-7301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42607
CA
Other
Enumeration date
05/22/2007
Last updated
06/22/2010
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