Organization
S J SHAHANGIAN DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSSEIN SHAHANGIAN DDS, MS (PEDIATRIC DENTIST)
(858) 693-5677
Entity
Organization
Contact information
Practice address
9840 HIBERT ST STE B4, SAN DIEGO, CA 92131-1071
(858) 693-5677
Mailing address
9840 HIBERT ST STE B4, SAN DIEGO, CA 92131-1071
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/15/2010
Last updated
04/11/2020
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