Organization
S J SHAHANGIAN DDS MS INC
Active
Other names
Scripps Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOSSEIN SHAHANGIAN (OWNER)
(619) 445-8881
Entity
Organization
Contact information
Practice address
1620 ALPINE BLVD STE 212, ALPINE, CA 91901-1105
(619) 445-8881
Mailing address
9840 HIBERT ST STE B4, SAN DIEGO, CA 92131-1071
(858) 693-5677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/05/2020
Last updated
10/27/2020
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