Angela Shaw Dds Inc | |
1400 Las Palmas Dr Ste 1 La Habra CA 90631-7582 | |
(714) 525-2381 | |
(714) 525-2382 |
Full Name | Angela Shaw Dds Inc |
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Speciality | Clinic/Center |
Location | 1400 Las Palmas Dr Ste 1, La Habra, California |
Authorized Official Name and Position | Angela Shaw (PRESIDENT/OWNER) |
Authorized Official Contact | 6263727858 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Angela Shaw Dds Inc 1400 Las Palmas Dr Ste 1 La Habra CA 90631-7582 Ph: (714) 525-2381 | Angela Shaw Dds Inc 1400 Las Palmas Dr Ste 1 La Habra CA 90631-7582 Ph: (714) 525-2381 |
NPI Number | 1821561903 |
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Provider Enumeration Date | 01/10/2019 |
Last Update Date | 07/31/2020 |
Medicare PECOS PAC ID | 6002241650 |
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Medicare Enrollment ID | O20200109000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821561903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Angela Shaw |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1023418894 PECOS PAC ID: 7810322468 Enrollment ID: I20200109000366 |
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