Individual
MR. SHAWN NATHANIEL PERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1129 S GLENDORA AVE, WEST COVINA, CA 91790-4955
(626) 919-7707
Mailing address
1129 S GLENDORA AVE, WEST COVINA, CA 91790-4955
(626) 919-7707
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24075
CA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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