Individual provider · Type 1 NPI

Aida Shadrav, DMD

Pediatric Dentistry · Los Angeles, CA

NPI number 1114598646 Active

Practice location

714 Tiverton Ave
Los Angeles, CA 90095-8361

Call (310) 825-9789 Map

Other practice locations

  • 320 N Nellis Blvd, Las Vegas, NV 89110-0052 · (702) 605-9120

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XS6-229C (NV)
Pediatric Dentistry Primary 1223P0221X108909 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

55 other providers at this address

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About NPI 1114598646

Aida Shadrav, DMD's National Provider Identifier is 1114598646, issued on Jul 6, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 8, 2024.