Individual provider · Type 1 NPI

Shariar Shaun Daneshgar

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1104934983 Active

Practice location

6360 Wilshire Blvd, Suite 403
Los Angeles, CA 90048

Fax (323) 653-3586

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD29996 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104934983

Shariar Shaun Daneshgar's National Provider Identifier is 1104934983, issued on Aug 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 23, 2021.