Individual
SHANNE JONATHAN SASTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-0762
(818) 588-1802
Mailing address
BOX 0762, 707 PARNASSUS AVE., SAN FRANCISCO, CA 94143
(818) 588-1802
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
64543
CA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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