Organization
SHAWN P. PESH, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN P. PESH DDS, MS (PRESIDENT/ORTHODONTIST)
(951) 698-8200
Entity
Organization
Contact information
Practice address
41011 CALIFORNIA OAKS RD STE 201, MURRIETA, CA 92562-5751
(951) 698-8200
Mailing address
41011 CALIFORNIA OAKS RD STE 201, MURRIETA, CA 92562-5751
(951) 698-8200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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