Organization
SHODHAN DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KADAM SHODHAN D.D.S. (PRESIDENT)
(818) 705-6565
Entity
Organization
Contact information
Practice address
17300 SATICOY ST, VAN NUYS, CA 91406-2435
(818) 705-6565
Mailing address
17300 SATICOY ST, VAN NUYS, CA 91406-2435
(818) 705-6565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30295
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30295
CA
Other
Enumeration date
06/18/2007
Last updated
09/11/2025
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