Individual
DR. SAM SHAMARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
59221
CA
1223P0300X
Periodontics
Primary
DN1855774
MA
Other
Enumeration date
05/24/2010
Last updated
03/14/2023
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