Organization
S. SHAUN DANESHGAR DMD INC
Active
Other names
DENTAL COMMUNITY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANESHGAR (MANAGER)
(323) 835-6123
Entity
Organization
Contact information
Practice address
2505 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-3003
(310) 701-0770
Mailing address
2771 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5750
(310) 701-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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