Jack Shabanian
Jack Shabanian is a Dentist in Hawthorne, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
11701 Hawthorne BlvdHawthorne, CA 90250-2317
Phone: (310) 676-0145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 38917 (CA) |
|---|
Record details
| NPI number | 1417356056 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 20, 2014 |
| Last updated in NPPES | August 20, 2014 |
| Mailing address | 11701 Hawthorne Blvd, Hawthorne, CA 90250-2317 |
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