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Shady Shaaban
General Practice Dentistry in Garden Grove, California
NPI 1770572877

Shady Shaaban is a General Practice Dentistry based in Garden Grove, CA and is specialized in General Practice. Shady Shaaban practices in Garden Grove, CA. The NPI Number for Shady Shaaban is 1770572877 and holds a License No. D12148 (California).

The current practice location address for Shady Shaaban is 12752 Garden Grove Blvd Ste 200, Garden Grove, CA and can be reached out via phone at 714-636-2595.

Location: 12752 Garden Grove Blvd Ste 200, Garden Grove, CA, 92843-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770572877
Provider Name
Shady Shaaban
Credential
Provider Entity Type
Individual
Gender
Male
Address
12752 Garden Grove Blvd Ste 200, Garden Grove, CA, 92843-1924
Phone Number
714-636-2595
Fax Number
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12752 Garden Grove Blvd Ste 200
City
Garden Grove
State
California
Zip
92843-1924
Phone Number
714-636-2595
Fax Number
person
Provider Business Mailing Address Details
Address
12752 Garden Grove Blvd Ste 200
City
Garden Grove
State
California
Zip
92843-1924
Phone Number
714-636-2595
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D12148 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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