| S. Shaun Daneshgar Dmd Inc | |
|
2505 E Cesar E Chavez Ave Los Angeles CA 90033-3003 | |
| (310) 701-0770 | |
| Not Available |
| Full Name | S. Shaun Daneshgar Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2505 E Cesar E Chavez Ave, Los Angeles, California |
| Authorized Official Name and Position | Michael Daneshgar (MANAGER) |
| Authorized Official Contact | 3238356123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Shaun Daneshgar Dmd Inc 2771 E Florence Ave Huntington Park CA 90255-5750 Ph: (310) 701-0770 | S. Shaun Daneshgar Dmd Inc 2505 E Cesar E Chavez Ave Los Angeles CA 90033-3003 Ph: (310) 701-0770 |
| NPI Number | 1215605845 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215605845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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