Organization
SHANABO DENTAL CORPORATION
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZA SHANABO (PRESIDENT)
(909) 438-4567
Entity
Organization
Contact information
Practice address
14607 RAMONA BLVD, BALDWIN PARK, CA 91706-3465
(626) 960-5108
Mailing address
14607 RAMONA BLVD STE B, BALDWIN PARK, CA 91706-3465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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