| Shahgaldian Professional Dental Corp | |
|
279 S Atlantic Blvd Ste # B Los Angeles CA 90022-1734 | |
| (818) 523-7626 | |
| Not Available |
| Full Name | Shahgaldian Professional Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 279 S Atlantic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Christine Shahgaldian (DENTIST/OWNER) |
| Authorized Official Contact | 8185237626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahgaldian Professional Dental Corp 279 S Atlantic Blvd Ste # B Los Angeles CA 90022-1734 Ph: () - | Shahgaldian Professional Dental Corp 279 S Atlantic Blvd Ste # B Los Angeles CA 90022-1734 Ph: (818) 523-7626 |
| NPI Number | 1710358726 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 03/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710358726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59269 (California) | Primary |
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