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Organization
ELENA SHABANI DDS INC
Active
Organization
ELENA SHABANI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA SHABANI DDS (DENTIST)
(818) 600-4012
Entity
Organization
Contact information
Practice address
2535 FOOTHILL BLVD STE 203, LA CRESCENTA, CA 91214-4580
(818) 600-4012
Mailing address
2535 FOOTHILL BLVD STE 203, LA CRESCENTA, CA 91214-4580
(818) 600-4012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
07/24/2019
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