MICHAEL SHANE VERT

DOWNEY, CA
NPI1528105079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  42015)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Dr. MICHAEL SHANE VERT
10805 PARAMOUNT BLVD
DOWNEY, CA 90241-3308
Phone number: 562-869-1686
Mailing Address
Dr. MICHAEL SHANE VERT
10805 PARAMOUNT BLVD
DOWNEY, CA 90241
Phone number: 562-869-1686