Individual
STEPHANIE ANN SHIMIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
UNIVERSITY PARK MC 0641, LOS ANGELES, CA 90089-0001
(213) 740-2851
Mailing address
3615 WASHINGTON ST UNIT A302, JAMAICA PLAIN, MA 02130-2782
(925) 787-6981
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1859735
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/15/2021
Last updated
08/14/2023
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