| Justin Shyba, D.d. S., Inc. | |
|
2515 Porter St Soquel CA 95073-2463 | |
| (831) 462-8555 | |
| (831) 476-3133 |
| Full Name | Justin Shyba, D.d. S., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2515 Porter St, Soquel, California |
| Authorized Official Name and Position | Bonnie Segura (OFFICE ADMIN.) |
| Authorized Official Contact | 8314628555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Shyba, D.d. S., Inc. 2515 Porter St Soquel CA 95073-2463 Ph: (831) 462-8555 | Justin Shyba, D.d. S., Inc. 2515 Porter St Soquel CA 95073-2463 Ph: (831) 462-8555 |
| NPI Number | 1811168628 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 01/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811168628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62533 (California) | Primary |