Individual
SHAUNA SHAFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
557 15TH ST, SANTA MONICA, CA 90402
(310) 666-4590
Mailing address
557 15TH ST, SANTA MONICA, CA 90402
(310) 666-4590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
160953
CA
1223P0221X
Pediatric Dentistry
Primary
160953
CA
Other
Enumeration date
06/08/2022
Last updated
08/26/2025
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