| Shaaban,d.d.s.,inc. | |
|
12752 Garden Grove Blvd Suite 200 Garden Grove CA 92843-1923 | |
| (714) 636-2595 | |
| Not Available |
| Full Name | Shaaban,d.d.s.,inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12752 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Shady Shaaban (PRESIDENT) |
| Authorized Official Contact | 8182886511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaaban,d.d.s.,inc. 12752 Garden Grove Blvd Suite 200 Garden Grove CA 92843-1923 Ph: (714) 636-2595 | Shaaban,d.d.s.,inc. 12752 Garden Grove Blvd Suite 200 Garden Grove CA 92843-1923 Ph: (714) 636-2595 |
| NPI Number | 1508189705 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508189705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56794 (California) | Primary |
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