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1417356056
JACK SHABANIAN
HAWTHORNE, CA
NPI
1417356056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 38917)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- JACK SHABANIAN
11701 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2317
Phone number: 310-676-0145
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Mailing Address
-- JACK SHABANIAN
11701 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2317
Phone number: 310-676-0145
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