Individual
ALICE KAMO SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
167 EL PINAR, LA SELVA BEACH, CA 95076-1509
(831) 684-1417
Mailing address
167 EL PINAR, LA SELVA BEACH, CA 95076-1509
(831) 684-1417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32764
CA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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