Shady Shaaban
Shady Shaaban is a General Practice Dentistry in Garden Grove, California. Practices as a sole proprietor. Licensed in California and Minnesota.
- Licensed in
- CA, MN
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
12752 Garden Grove Blvd Ste 200Garden Grove, CA 92843-1924
Phone: (714) 636-2595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 56794 (CA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D12148 (MN) |
Record details
| NPI number | 1770572877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2005 |
| Last updated in NPPES | July 21, 2022 |
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