| Shodhan Dental Corp. | |
|
17300 Saticoy St Van Nuys CA 91406-2435 | |
| (818) 705-6565 | |
| Not Available |
| Full Name | Shodhan Dental Corp. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17300 Saticoy St, Van Nuys, California |
| Authorized Official Name and Position | Kadam Shodhan (PRESIDENT) |
| Authorized Official Contact | 8187056565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shodhan Dental Corp. 17300 Saticoy St Van Nuys CA 91406-2435 Ph: (818) 705-6565 | Shodhan Dental Corp. 17300 Saticoy St Van Nuys CA 91406-2435 Ph: (818) 705-6565 |
| NPI Number | 1417152661 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417152661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30295 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30295 (California) | Primary |
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