Individual
DR. KELLY ALEXANDRA SHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500 DENTAL, LOS ANGELES, CA 90073-1003
(626) 399-5248
Mailing address
25078 PEACHLAND AVE STE H, NEWHALL, CA 91321-2555
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
64313
CA
Other
Enumeration date
06/30/2016
Last updated
03/27/2020
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