Organization · NPI-2

A. H. Sheily, D.D.S., A Dental Corporation

Dentist · Los Angeles, CA

NPI number1710357157
StatusActive
Last updated in NPPESApr 1, 2016

Details

NPI
1710357157
Entity type
Organization (NPI-2)
Legal business name
A. H. Sheily, D.D.S., A Dental Corporation
Organization subpart
No
Enumeration date
Sep 28, 2015
Last updated
Apr 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist36833CAYes

Other names

  • Culver Marina Dental Group (Doing Business As)

Practice location

12756 W Washington Blvd
Los Angeles, CA 90066-2309

Phone 310-822-6066 · Fax 310-574-8899

Mailing address

12756 W Washington Blvd
Los Angeles, CA 90066-2309

Phone 310-822-6066 · Fax 310-574-8899

Authorized official

Aaron H Sheily
President
3108226066

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