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Individual

DR. AFSHIN SHAMAIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10826 VENICE BLVD, #101, CULVER CITY, CA 90232
(310) 202-0033
(310) 202-6586
Mailing address
10826 VENICE BLVD, #101, CULVER CITY, CA 90232
(310) 202-0033
(310) 202-6586

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
053520
NY
122300000X
Dentist
Primary
58748
CA

Other

Enumeration date
01/18/2008
Last updated
02/21/2012
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