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Dr. Shagramanova Dental Group, Inc
Dental Clinic/Center in South Gate, California
NPI 1265905434

Dr. Shagramanova Dental Group, Inc is a Dental Clinic/Center based in South Gate, CA and is specialized in Dental. Dr. Shagramanova Dental Group, Inc practices in South Gate, CA. The NPI Number for Dr. Shagramanova Dental Group, Inc is 1265905434 and holds a License No. (California).

The current practice location address for Dr. Shagramanova Dental Group, Inc is 3175 Firestone Blvd, South Gate, CA and can be reached out via phone at 323-484-1020.

Location: 3175 Firestone Blvd, South Gate, CA, 90280-2951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265905434
Provider Name
Dr. Shagramanova Dental Group, Inc
Credential
Provider Entity Type
Organization
Address
3175 Firestone Blvd, South Gate, CA, 90280-2951
Phone Number
323-484-1020
Fax Number
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023051646 01 CA RENDERING PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3175 Firestone Blvd
City
South Gate
State
California
Zip
90280-2951
Phone Number
323-484-1020
Fax Number
person
Provider Business Mailing Address Details
Address
3175 Firestone Blvd
City
South Gate
State
California
Zip
90280-2951
Phone Number
323-484-1020
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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