Organization
KANOKNUCH S. SHIFLETT, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANOKNUCH SHIFLETT D.D.S. (PRESIDENT)
(626) 480-1543
Entity
Organization
Contact information
Practice address
906 S SUNSET AVE STE 105, WEST COVINA, CA 91790-3400
(626) 480-1543
(626) 480-0622
Mailing address
906 S SUNSET AVE STE 105, WEST COVINA, CA 91790-3400
(626) 480-1543
(626) 480-0622
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40303
CA
Other
Enumeration date
08/16/2007
Last updated
07/21/2022
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