institution
Kanoknuch S. Shiflett, D.d.s. Inc.
Pediatric Dentist in West Covina, California
NPI 1265624985

Kanoknuch S. Shiflett, D.d.s. Inc. is a Pediatric Dentist based in West Covina, CA and is specialized in Pediatric Dentistry. Kanoknuch S. Shiflett, D.d.s. Inc. practices in West Covina, CA. The NPI Number for Kanoknuch S. Shiflett, D.d.s. Inc. is 1265624985 and holds a License No. 40303 (California).

The current practice location address for Kanoknuch S. Shiflett, D.d.s. Inc. is 906 S Sunset Ave Ste 105, West Covina, CA and can be reached out via phone at 626-480-1543 and via fax at 626-480-0622.

Location: 906 S Sunset Ave Ste 105, West Covina, CA, 91790-3400
institution
Provider Profile Details
NPI Number
1265624985
Provider Name
Kanoknuch S. Shiflett, D.d.s. Inc.
Credential
Provider Entity Type
Organization
Address
906 S Sunset Ave Ste 105, West Covina, CA, 91790-3400
Phone Number
626-480-1543
Fax Number
626-480-0622
Provider Enumeration Date
08/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
906 S Sunset Ave Ste 105
City
State
Zip
91790-3400
Phone Number
626-480-1543
Fax Number
626-480-0622
person
Provider Business Mailing Address Details
Address
906 S Sunset Ave Ste 105
City
State
Zip
91790-3400
Phone Number
626-480-1543
Fax Number
626-480-0622
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
40303 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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