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Organization

DAINTY ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY DAINTY LAC, MTOM, BS (LAC, OWNER)
(310) 895-3891
Entity
Organization

Contact information

Practice address
2450 WILSHIRE BLVD, SUITE #1, SANTA MONICA, CA 90403-5829
(310) 895-3891
(310) 496-2717
Mailing address
2450 WILSHIRE BLVD, SUITE #1, SANTA MONICA, CA 90403-5829
(310) 895-3891
(310) 496-2717

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11908
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11908
STATE LICENSE
CA
Enumeration date
07/23/2008
Last updated
07/23/2008
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