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Individual

SHAWN FARSHAD TORBATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS SPECIALTY

Contact information

Practice address
5255 POMONA BLV, SUITE 12, LA, CA 90022
(323) 728-9008
Mailing address
5255 POMONA BLV, SUITE 12, LA, CA 90022
(323) 728-9008
(323) 721-2154

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
B35790
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B3579001
MEDICAL
CA
Enumeration date
11/14/2006
Last updated
07/08/2007
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