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
Phone: (714) 636-2595
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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