Individual
DR. MICHAEL SHANE VERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10805 PARAMOUNT BLVD, DOWNEY, CA 90241-3308
(562) 869-1686
(562) 861-1672
Mailing address
10805 PARAMOUNT BLVD, DOWNEY, CA 90241
(562) 869-1686
(562) 861-1672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42015
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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