Organization
DR NATALYA SHAGRAMANOVA DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALYA SHAGRAMANOVA DDS (CEO/DENTIST)
(818) 653-7778
Entity
Organization
Contact information
Practice address
4203 S HOOVER ST, LOS ANGELES, CA 90037-2502
(213) 602-0001
Mailing address
4203 S HOOVER ST, LOS ANGELES, CA 90037-2502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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