| Natalya Shagramanova D.d.s. Inc. | |
|
1150 N Pacific Ave Glendale CA 91202-2359 | |
| (818) 240-0138 | |
| Not Available |
| Full Name | Natalya Shagramanova D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1150 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Natalya Shagramanova (OWNER/PRESIDENT) |
| Authorized Official Contact | 8186537778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalya Shagramanova D.d.s. Inc. 7924 Woodman Ave #27 Van Nuys CA 91402-6246 Ph: (818) 653-7778 | Natalya Shagramanova D.d.s. Inc. 1150 N Pacific Ave Glendale CA 91202-2359 Ph: (818) 240-0138 |
| NPI Number | 1710164108 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710164108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54204 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 54204 (California) | Secondary |
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