Organization
JONATHAN SHOUHED DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SHOUHED (ORTHODONTIST)
(310) 666-6011
Entity
Organization
Contact information
Practice address
2320 S ROBERTSON BLVD STE 101, LOS ANGELES, CA 90034-2053
(310) 954-2202
Mailing address
2320 S ROBERTSON BLVD STE 101, LOS ANGELES, CA 90034-2053
(310) 954-2202
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
65364
CA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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