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Individual

ELENA SHABANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
914 N LOUISE ST APT 7, GLENDALE, CA 91207-2175
(818) 426-8607
Mailing address
914 N. LOUISE ST #7, GLENDALE, CA 91207

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65135
CA

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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