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11001 Beach Blvd Stanton CA 90680-3216 | |
| (714) 891-6623 | |
| (714) 893-1504 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 11001 Beach Blvd, Stanton, California |
| Authorized Official Name and Position | Shorouq Sahawneh (OWNER DENTIST) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 Ph: (714) 578-6358 | 11001 Beach Blvd Stanton CA 90680-3216 Ph: (714) 891-6623 |
| NPI Number | 1790169837 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790169837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
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