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Organization
NADINE SHASHATY DDS INC
Active
Organization
NADINE SHASHATY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE SHASHATY (DENTIST)
(818) 904-0008
Entity
Organization
Contact information
Practice address
14860 ROSCOE BLVD, SUITE 207, PANORAMA CITY, CA 91402-4665
(818) 904-0008
(818) 904-0077
Mailing address
14860 ROSCOE BLVD, SUITE 207, PANORAMA CITY, CA 91402-4665
(818) 904-0008
(818) 904-0077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48016
CA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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