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Individual

SHAHIN BAYANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ORTHODONTIST

Contact information

Practice address
20700 AVALON BLVD STE 600, CARSON, CA 90746-3701
(617) 335-8232
Mailing address
11740 WILSHIRE BLVD APT A1008, LOS ANGELES, CA 90025-6536
(310) 435-6058

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105572
CA

Other

Enumeration date
10/04/2017
Last updated
10/05/2020
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