Natalya Shagramanova
Dentist, General Practice in Glendale, CA. Individual provider (NPI-1).
NPI number1023051646
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1023051646
- Entity type
- Individual (NPI-1)
- Name
- Natalya Shagramanova
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 54204 | CA | Yes |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – |
Practice location
1545 N Verdugo RdSuite 112
Glendale, CA 91208-2862
Phone 818-662-5104 · Fax 818-662-5063
Mailing address
1545 N Verdugo RdSuite 112
Glendale, CA 91208-2862
Phone 818-662-5104 · Fax 818-662-5063
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