| Jonathan Shouhed Dds Inc | |
|
2320 S Robertson Blvd Ste 101 Los Angeles CA 90034-2053 | |
| (310) 954-2202 | |
| Not Available |
| Full Name | Jonathan Shouhed Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2320 S Robertson Blvd Ste 101, Los Angeles, California |
| Authorized Official Name and Position | Jonathan Shouhed (ORTHODONTIST) |
| Authorized Official Contact | 3106666011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Shouhed Dds Inc 2320 S Robertson Blvd Ste 101 Los Angeles CA 90034-2053 Ph: (310) 954-2202 | Jonathan Shouhed Dds Inc 2320 S Robertson Blvd Ste 101 Los Angeles CA 90034-2053 Ph: (310) 954-2202 |
| NPI Number | 1013401082 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013401082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 65364 (California) | Primary |
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