Kanoknuch S. Shiflett, D.d.s. Inc. | |
906 S Sunset Ave Ste 105 West Covina CA 91790-3400 | |
(626) 480-1543 | |
(626) 480-0622 |
Full Name | Kanoknuch S. Shiflett, D.d.s. Inc. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 906 S Sunset Ave Ste 105, West Covina, California |
Authorized Official Name and Position | Kanoknuch Shiflett (PRESIDENT) |
Authorized Official Contact | 6264801543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kanoknuch S. Shiflett, D.d.s. Inc. 906 S Sunset Ave Ste 105 West Covina CA 91790-3400 Ph: (626) 480-1543 | Kanoknuch S. Shiflett, D.d.s. Inc. 906 S Sunset Ave Ste 105 West Covina CA 91790-3400 Ph: (626) 480-1543 |
NPI Number | 1265624985 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265624985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 40303 (California) | Primary |
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