Individual
JOSSEIN SHAHANGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
9840 HIBERT ST STE B4, SAN DIEGO, CA 92131-1071
(858) 335-1165
Mailing address
9840 HIBERT ST, SUITE B-4, SAN DIEGO, CA 92131-1071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
150635
NC
1223P0221X
Pediatric Dentistry
Primary
59342
CA
1223P0221X
Pediatric Dentistry
8551
NC
Other
Enumeration date
07/23/2007
Last updated
04/05/2020
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