Individual
SHAY BRANNAN MUSHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7930 FROST ST, STE 101, SAN DIEGO, CA 92123-2737
(858) 492-9977
(858) 492-9910
Mailing address
15622 NEW PARK TER, SAN DIEGO, CA 92127-4150
(310) 909-6847
(858) 832-1091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
009476
CT
1223G0001X
General Practice Dentistry
53053
CA
1223P0221X
Pediatric Dentistry
Primary
53053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002094762
—
CT
Enumeration date
09/01/2005
Last updated
09/09/2021
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