Organization
RAMIN SHABTAIE, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN SHABTAIE DDS (OWNER/PRESIDENT)
(310) 208-3471
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD, SUITE 608, LOS ANGELES, CA 90024-3906
(310) 208-3471
(310) 208-2553
Mailing address
10921 WILSHIRE BLVD, SUITE 608, LOS ANGELES, CA 90024-3906
(310) 208-3471
(310) 208-2553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
43561
CA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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