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Candice Shahandeh-rad
General Practice Dentistry in Los Angeles, California
NPI 1871367292

Candice Shahandeh-rad is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Candice Shahandeh-rad practices in Los Angeles, CA. The NPI Number for Candice Shahandeh-rad is 1871367292 and holds a License No. 109596 (California).

The current practice location address for Candice Shahandeh-rad is 11764 Wilmington Ave, Los Angeles, CA and can be reached out via phone at 310-962-1116.

Location: 11764 Wilmington Ave, Los Angeles, CA, 90049-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871367292
Provider Name
Candice Shahandeh-rad
Credential
Provider Entity Type
Individual
Gender
Female
Address
11764 Wilmington Ave, Los Angeles, CA, 90049-2323
Phone Number
310-962-1116
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11764 Wilmington Ave
City
Los Angeles
State
California
Zip
90059-2553
Phone Number
310-962-1116
Fax Number
person
Provider Business Mailing Address Details
Address
11764 Wilmington Ave
City
Los Angeles
State
California
Zip
90059-2553
Phone Number
310-962-1116
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
109596 (California)
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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