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Individual

DR. SHADI HAYKANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7603 CARSON BLVD, LONG BEACH, CA 90808-2367
(310) 817-9749
Mailing address
18232 WEDDINGTON ST, TARZANA, CA 91356-3620

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DDS107089
CA
1223G0001X
General Practice Dentistry
13434
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107089
CA

Other

Enumeration date
05/18/2022
Last updated
08/22/2024
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