Organization
SHAER DENTAL CORPORATION
Active
Other names
Smile Boutique - Northridge
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA VERDY (OFFICE MANAGER)
(818) 678-9975
Entity
Organization
Contact information
Practice address
8619 RESEDA BLVD STE 101, NORTHRIDGE, CA 91324-4042
(818) 678-9975
(818) 812-9383
Mailing address
8619 RESEDA BLVD STE 101, NORTHRIDGE, CA 91324-4042
(818) 678-9975
(818) 812-9383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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