| Shalaby Professional Dental Corporation | |
|
24953 Paseo De Valencia Ste 2c Laguna Hills CA 92653-4337 | |
| (949) 441-5617 | |
| Not Available |
| Full Name | Shalaby Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24953 Paseo De Valencia Ste 2c, Laguna Hills, California |
| Authorized Official Name and Position | Tamer Shalaby (PRESIDENT) |
| Authorized Official Contact | 9494415617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalaby Professional Dental Corporation 24953 Paseo De Valencia Ste 2c Laguna Hills CA 92653-4337 Ph: () - | Shalaby Professional Dental Corporation 24953 Paseo De Valencia Ste 2c Laguna Hills CA 92653-4337 Ph: (949) 441-5617 |
| NPI Number | 1760091383 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760091383 | NPI | - | NPPES |
| DDS55911 | Other | CA | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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