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Organization
SANTA MONICA DENTAL,A DR SHENAVAD DENTAL GROUP CORPORATION
Active
Organization
SANTA MONICA DENTAL,A DR SHENAVAD DENTAL GROUP CORPORATION
Active
Other names
Santa Monica Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN SHENAVAD (OWNER)
(310) 444-1818
Entity
Organization
Contact information
Practice address
11775 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2843
(310) 444-1818
Mailing address
11775 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2843
(310) 444-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48377
CA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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