JACK SHABANIAN

HAWTHORNE, CA
NPI1417356056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  38917)
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
-- JACK SHABANIAN
11701 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2317
Phone number: 310-676-0145
Mailing Address
-- JACK SHABANIAN
11701 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2317
Phone number: 310-676-0145
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