Individual
DR. SHARIAR SHAUN DANESHGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6360 WILSHIRE BLVD, SUITE 403, LOS ANGELES, CA 90048
(323) 653-9440
(323) 653-3586
Mailing address
6360 WILSHIRE BLVD, SUITE 403, LOS ANGELES, CA 90048
(323) 653-9440
(323) 653-3586
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D29996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001293
DELTA PMI
CA
01
—
056475
UNITED CONCORDIA
CA
05
—
B2999601
—
CA
Enumeration date
08/29/2006
Last updated
12/23/2021
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