Individual
SHAILEE SAMIR MASHRUWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10933 ROCHESTER AVE, APT#119, LOS ANGELES, CA 90024-7702
(847) 370-2573
Mailing address
10933 ROCHESTER AVE, APT#119, LOS ANGELES, CA 90024-7702
(847) 370-2573
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60092
CA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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