Organization
SHAHINIAN AND NOVSHADIAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA SHAHINIAN DDS (OWNER DENTIST)
(323) 825-8558
Entity
Organization
Contact information
Practice address
3342 VERDUGO RD STE B, LOS ANGELES, CA 90065-2845
(323) 825-8558
Mailing address
3342 VERDUGO RD STE B, LOS ANGELES, CA 90065-2845
(323) 825-8558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103248
DENTAL LICENSE
CA
Enumeration date
05/10/2023
Last updated
05/10/2023
Update your record
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