Individual
DR. SHAZA MARDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2745 VIA VILLAGGIO, SACRAMENTO, CA 95864-3788
(916) 996-9969
Mailing address
2745 VIA VILLAGGIO, SACRAMENTO, CA 95864-3788
(916) 996-9969
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
48957
CA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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