Individual
DR. SHAHE DISHAKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16311 VENTURA BLVD STE 820, ENCINO, CA 91436-4394
(818) 990-5500
Mailing address
16311 VENTURA BLVD STE 820, ENCINO, CA 91436-4394
(818) 990-5500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106712
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
06/13/2025
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