NPI: 1205370319
Provider Name: WILSHIRE ORAL SURGERY & IMPLANT CENTER
Other Name: JONATHAN SHADI, DDS, INC
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
12300 WILSHIRE BLVD
SUITE #326
LOS ANGELES, CA
ZIP 90025
Phone: (310) 652-6553
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WILSHIRE ORAL SURGERY & IMPLANT CENTER is an oral and maxillofacial surgery dentist in Los Angeles, CA. The provider is an oral and maxillofacial surgery dentist specialized in 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. WILSHIRE ORAL SURGERY & IMPLANT CENTER NPI is 1205370319. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Jonathan Shadi, Dds, Inc.
The provider's business location address is:
12300 WILSHIRE BLVD
SUITE #326
LOS ANGELES, CA
ZIP 90025-020
Phone: (310) 652-6553
Fax: (310) 652-6553
The provider's authorized official is Jonathan Shadi .
The authorized official title is President and has the following contact phone number (310) 652-6553.
The enumeration date for this NPI number is 12/8/2016 and was last updated on 12/13/2016.