Shaaban, Shady

Shaaban, Shady is an sole proprietor health care provider with primary practice located at 12752 Garden Grove Blvd Ste 200 , Garden Grove CA 92843-1924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaaban, Shady can be contacted via phone (714) 636-2595.

Contact Information

Primary practice address
12752 Garden Grove Blvd Ste 200 Garden Grove CA 92843-1924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12148 Minnesota
Dental Providers / General Practice 1223G0001X 56794 California

Profile Details

NPI number 1770572877
LBN Legal business name Shaaban, Shady
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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