Individual
DR. SHAWN CAMERON RAHGOZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5300 SOQUEL AVE STE 103, SANTA CRUZ, CA 95062-7806
(831) 464-5409
Mailing address
5300 SOQUEL AVE STE 103, SANTA CRUZ, CA 95062-7806
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS106199
CA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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