Individual
KRISTINA SHAGRAMANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 956-9907
(818) 956-9914
Mailing address
7924 WOODMAN AVE, SUITE27, VAN NUYS, CA 91402-6246
(818) 636-9208
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
55130
CA
1223G0001X
General Practice Dentistry
DS037131
PA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
06/08/2006
Last updated
05/15/2025
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