| Dr. Shagramanova Dental Group, Inc | |
|
3175 Firestone Blvd South Gate CA 90280-2951 | |
| (323) 484-1020 | |
| Not Available |
| Full Name | Dr. Shagramanova Dental Group, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3175 Firestone Blvd, South Gate, California |
| Authorized Official Name and Position | Natalya Shagramanova (CEO/DENTIST) |
| Authorized Official Contact | 8186537778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shagramanova Dental Group, Inc 3175 Firestone Blvd South Gate CA 90280-2951 Ph: (323) 484-1020 | Dr. Shagramanova Dental Group, Inc 3175 Firestone Blvd South Gate CA 90280-2951 Ph: (323) 484-1020 |
| NPI Number | 1265905434 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265905434 | NPI | - | NPPES |
| 1023051646 | Other | CA | RENDERING PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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