Individual
DR. JUSTIN MICHAEL SHEINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
10855 LECONTE AVE, CHS A0-156, LOS ANGELES, CA 90085
(310) 825-0834
Mailing address
1836 GLENDON AVE APT 2, LOS ANGELES, CA 90025-4660
(954) 803-0200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DD5596
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS100699
CA
Other
Enumeration date
10/17/2016
Last updated
07/15/2022
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