# DR NATALYA SHAGRAMANOVA DDS DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811756596
- **Authorized official:** DR. NATALYA SHAGRAMANOVA DDS (CEO/DENTIST)
- **Authorized official phone:** (818) 653-7778

## Contact information

- **Practice address:** 4203 S HOOVER ST, LOS ANGELES, CA 90037-2502
- **Practice address phone:** (213) 602-0001
- **Mailing address:** 4203 S HOOVER ST, LOS ANGELES, CA 90037-2502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024