| Grant Shandler, Dds, Inc. | |
|
1111 Pacific Coast Hwy Ste 21 Harbor City CA 90710-3544 | |
| (323) 688-6965 | |
| Not Available |
| Full Name | Grant Shandler, Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 Pacific Coast Hwy Ste 21, Harbor City, California |
| Authorized Official Name and Position | Grant Shandler (PRESIDENT) |
| Authorized Official Contact | 3236886965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Shandler, Dds, Inc. 28625 S Western Ave # 183 Rancho Palos Verdes CA 90275-0810 Ph: () - | Grant Shandler, Dds, Inc. 1111 Pacific Coast Hwy Ste 21 Harbor City CA 90710-3544 Ph: (323) 688-6965 |
| NPI Number | 1275271173 |
|---|---|
| Provider Enumeration Date | 05/22/2022 |
| Last Update Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275271173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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