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Organization

SHAMS AND NABIZADEH DENTAL CORPORATION

Active
Other names
winnetka dental practice
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIR NISAN SHAMS DMD (DENTIST)
(818) 676-0970
Entity
Organization

Contact information

Practice address
7111 WINNETKA AVE, SUITE #3, WINNETKA, CA 91306-3646
(818) 676-0970
Mailing address
7111 WINNETKA AVE, SUITE #3, WINNETKA, CA 91306-3646
(818) 676-0970

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
56220
CA
302R00000X
Health Maintenance Organization
Primary
56712
CA

Other

Enumeration date
11/02/2009
Last updated
11/02/2009
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