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Organization
S SHAUN DANESHGAR DMD INC
Active
Organization
S SHAUN DANESHGAR DMD INC
Active
Other names
DENTAL COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANESHGAR (OFFICE MANAGER)
(310) 701-0770
Entity
Organization
Contact information
Practice address
13309 VAN NUYS BLVD, PACOIMA, CA 91331-3006
(310) 701-0770
Mailing address
13309 VAN NUYS BLVD, PACOIMA, CA 91331-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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