| Gabreal Shamtoub Dds Inc | |
|
5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 | |
| (818) 646-2923 | |
| (818) 646-2924 |
| Full Name | Gabreal Shamtoub Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5567 Reseda Blvd Ste 100, Tarzana, California |
| Authorized Official Name and Position | Gabreal Shamtoub (PRESIDENT) |
| Authorized Official Contact | 3238862414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabreal Shamtoub Dds Inc 5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 Ph: (818) 646-2923 | Gabreal Shamtoub Dds Inc 5567 Reseda Blvd Ste 100 Tarzana CA 91356-2648 Ph: (818) 646-2923 |
| NPI Number | 1528535572 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528535572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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