Individual
DR. ANDREW BEIHONG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22421 EL TORO RD, SUITE E, LAKE FOREST, CA 92630-5049
(949) 770-4707
(949) 770-4708
Mailing address
2 CARTIER AISLE, IRVINE, CA 92620-5708
(415) 503-7584
(949) 770-4707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D55838
—
CA
Enumeration date
07/19/2007
Last updated
06/03/2013
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