| S J Shahangian Dds Ms Inc | |
| 
					1620 Alpine Blvd Ste 212 Alpine CA 91901-1105  | |
| (619) 445-8881 | |
| Not Available | 
| Full Name | S J Shahangian Dds Ms Inc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 1620 Alpine Blvd Ste 212, Alpine, California | 
| Authorized Official Name and Position | Jossein Shahangian (OWNER) | 
| Authorized Official Contact | 6194458881 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| S J Shahangian Dds Ms Inc 9840 Hibert St Ste B4 San Diego CA 92131-1071 Ph: (858) 693-5677  | S J Shahangian Dds Ms Inc 1620 Alpine Blvd Ste 212 Alpine CA 91901-1105 Ph: (619) 445-8881  | 
| NPI Number | 1235750811 | 
|---|---|
| Provider Enumeration Date | 05/05/2020 | 
| Last Update Date | 10/27/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235750811 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary | 
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
Rodolfo Orozco Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2065 Arnold Way Ste 105, Alpine, CA 91901 Phone: 619-659-9580 Fax: 619-659-9535  | |
Alpine Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 Phone: 619-445-8896 Fax: 619-445-7339  | |
Jonar R Bonifacio, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 121, Alpine, CA 91901 Phone: 619-445-8896 Fax: 619-445-7339  | |
Cynthia L Jackson Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd, Ste 212, Alpine, CA 91901 Phone: 619-445-8883 Fax: 619-445-8890  |