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1528105079
MICHAEL SHANE VERT
DOWNEY, CA
NPI
1528105079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 42015)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL SHANE VERT
10805 PARAMOUNT BLVD
DOWNEY, CA 90241-3308
Phone number: 562-869-1686
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Mailing Address
Dr. MICHAEL SHANE VERT
10805 PARAMOUNT BLVD
DOWNEY, CA 90241
Phone number: 562-869-1686
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