| 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 |