Organization
GRANT SHANDLER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT SHANDLER DDS (PRESIDENT)
(323) 688-6965
Entity
Organization
Contact information
Practice address
1111 PACIFIC COAST HWY STE 21, HARBOR CITY, CA 90710-3544
(323) 688-6965
Mailing address
28625 S WESTERN AVE # 183, RANCHO PALOS VERDES, CA 90275-0810
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
11/30/2022
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