Individual
MISS LAILA SHAMSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.A.P.
Contact information
Practice address
6316 LINDLEY AVE, ENCINO, CA 91316-7119
(818) 770-6710
Mailing address
PO BOX 573414, TARZANA, CA 91357-3414
(818) 770-6710
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
460
CA
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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