# A. H. SHEILY, D.D.S., A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Culver Marina Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962873687
- **Authorized official:** DR. AARON H SHEILY D.D.S. (PRESIDENT)
- **Authorized official phone:** (310) 574-8574

## Contact information

- **Practice address:** 12756 W WASHINGTON BLVD, LOS ANGELES, CA 90066-2309
- **Practice address phone:** (310) 574-8574
- **Practice address fax:** (310) 574-8899
- **Mailing address:** 12756 W WASHINGTON BLVD, LOS ANGELES, CA 90066-2309
- **Mailing address phone:** (310) 574-8574
- **Mailing address fax:** (310) 574-8899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 36833 | CA | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015