Individual provider · NPI-1

Zahraa Mohanad Al-Shammari

Dentist · Pomona, CA

NPI number1174353338
StatusActive
Last updated in NPPESAug 3, 2024

Details

NPI
1174353338
Entity type
Individual (NPI-1)
Name
Zahraa Mohanad Al-Shammari
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2024
Certification date
Jul 5, 2024
Last updated
Aug 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist110425CAYes

Practice location

2071 Rancho Valley Dr
Pomona, CA 91766-7105

Phone 909-374-1815

Mailing address

22151 Pheasant St
Lake Forest, CA 92630-1845

Phone 949-378-1845

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