Individual
CHRISTINE SHEHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1451 N MONTEBELLO BLVD, MONTEBELLO, CA 90640
(323) 724-9955
Mailing address
1451 N MONTEBELLO BLVD, MONTEBELLO, CA 90640
(323) 724-9955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61740
CA
1223D0001X
Public Health Dentistry
61740
CA
1223G0001X
General Practice Dentistry
61740
CA
Other
Enumeration date
04/12/2013
Last updated
09/22/2015
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