| Victoria A. Shook, D.d.s., A Professional Corp. | |
|
29409 S Western Ave Suite 4 Rancho Palos Verdes CA 90275-1124 | |
| (310) 548-2830 | |
| (310) 548-2833 |
| Full Name | Victoria A. Shook, D.d.s., A Professional Corp. |
|---|---|
| Speciality | Dentist |
| Location | 29409 S Western Ave, Rancho Palos Verdes, California |
| Authorized Official Name and Position | Peter C. Katzaroff (VICE PRESIDENT) |
| Authorized Official Contact | 3105482830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria A. Shook, D.d.s., A Professional Corp. 29409 S Western Ave Suite 4 Rancho Palos Verdes CA 90275-1124 Ph: (310) 548-2830 | Victoria A. Shook, D.d.s., A Professional Corp. 29409 S Western Ave Suite 4 Rancho Palos Verdes CA 90275-1124 Ph: (310) 548-2830 |
| NPI Number | 1558567461 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558567461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41788 (California) | Primary |
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