| Henry Shafajoo D.d.s Inc | |
|
2639 Santa Ana St South Gate CA 90280-2025 | |
| (323) 583-1481 | |
| (323) 583-7301 |
| Full Name | Henry Shafajoo D.d.s Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2639 Santa Ana St, South Gate, California |
| Authorized Official Name and Position | Henry Shafajoo (OWNER) |
| Authorized Official Contact | 3235831481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Shafajoo D.d.s Inc 2639 Santa Ana St South Gate CA 90280-2025 Ph: (323) 583-1481 | Henry Shafajoo D.d.s Inc 2639 Santa Ana St South Gate CA 90280-2025 Ph: (323) 583-1481 |
| NPI Number | 1699984039 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699984039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42607 (California) | Primary |
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