| Ramin Shabtaie, Dds, Inc | |
|
10921 Wilshire Blvd Suite 608 Los Angeles CA 90024-3906 | |
| (310) 208-3471 | |
| (310) 208-2553 |
| Full Name | Ramin Shabtaie, Dds, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10921 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Ramin Shabtaie (OWNER/PRESIDENT) |
| Authorized Official Contact | 3102083471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramin Shabtaie, Dds, Inc 10921 Wilshire Blvd Suite 608 Los Angeles CA 90024-3906 Ph: (310) 208-3471 | Ramin Shabtaie, Dds, Inc 10921 Wilshire Blvd Suite 608 Los Angeles CA 90024-3906 Ph: (310) 208-3471 |
| NPI Number | 1811181977 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811181977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 43561 (California) | Primary |
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