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Individual

DR. SHAWN J. SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6801 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91605-5162
(818) 763-1718
(818) 764-4589
Mailing address
1239 LARRABEE ST, #10, WEST HOLLYWOOD, CA 90069-2085
(310) 289-9729

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
39893
CA

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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