Organization
S SHAHNAZARIANS DDS A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEVETLANA SHAHNAZARIANS (OWNER/DENTIST)
(626) 765-9758
Entity
Organization
Contact information
Practice address
859 N FAIR OAKS AVE, UNIT 120, PASADENA, CA 91103-3076
(626) 765-9758
(626) 765-9760
Mailing address
859 N FAIR OAKS AVE STE 120, PASADENA, CA 91103-3078
(626) 765-9758
(626) 765-9760
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
57036
CA
Other
Enumeration date
06/20/2016
Last updated
11/21/2017
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