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Provider Information for 1386814788

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DAVID SHOUHED D.D.S.

Gender: MALE

Individual NPI: 1386814788

Calendar   Last Updated:  2008-03-03
  Certification Date: 

Details

Name Value
NPI 1386814788
Enumeration Date 2008-03-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1700 WESTWOOD BLVD 2ND FLOOR
LOS ANGELES, CA 90024
United States

Phone: 310-466-2636 | Fax: 310-470-3007
View Map External Link
Primary Practice Address 1700 WESTWOOD BLVD 2ND FLOOR
LOS ANGELES, CA 90024-5608
United States

Phone: 310-466-2636 | Fax: 310-470-3007
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 56814