Individual
BILAL SHAMMOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44215 15TH ST W, UNIT 313, LANCASTER, CA 93534-4014
(661) 948-2721
Mailing address
44215 15TH ST W, UNIT 313, LANCASTER, CA 93534-4014
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
00010685
WA
1223E0200X
Endodontics
17888
FL
1223E0200X
Endodontics
Primary
60328
CA
Other
Enumeration date
05/07/2007
Last updated
04/10/2020
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