Organization · NPI-2
A. H. Sheily, D.D.S., A Dental Corporation
Dentist · Los Angeles, CA
NPI number1962873687
StatusActive
Last updated in NPPESOct 8, 2015
Details
- NPI
- 1962873687
- Entity type
- Organization (NPI-2)
- Legal business name
- A. H. Sheily, D.D.S., A Dental Corporation
- Organization subpart
- No
- Enumeration date
- Oct 8, 2015
- Last updated
- Oct 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 36833 | CA | Yes |
Other names
- Culver Marina Dental Group (Doing Business As)
Practice location
12756 W Washington BlvdLos Angeles, CA 90066-2309
Phone 310-574-8574 · Fax 310-574-8899
Mailing address
12756 W Washington BlvdLos Angeles, CA 90066-2309
Phone 310-574-8574 · Fax 310-574-8899
Authorized official
Aaron H Sheily
President
3105748574
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