Individual
DR. EVANGELINE UY SHITABATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
23451 MADISON ST, #170, TORRANCE, CA 90505-4763
(310) 375-5437
(310) 375-7608
Mailing address
23451 MADISON ST, #170, TORRANCE, CA 90505-4763
(310) 375-5437
(310) 375-7608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40037
CA
Other
Enumeration date
07/27/2005
Last updated
07/08/2007
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