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NPI Code Detail

MEDICARE: DR. MERNA SHAMOON DDS

MEDICARE: DR. MERNA SHAMOON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry112755CA

General Provider Information

NPI Number : 1558214080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MERNA SHAMOON DDS
Provider Business Mailing Address
First Line : 1530 JAMACHA RD STE L
Second Line :
City : EL CAJON
State : CA
Zip : 92019-3757
Country : US
Telephone Number : 619-988-8293
Fax Number :
Provider Business Practice Location Address
First Line : 1530 JAMACHA RD STE L
Second Line :
City : EL CAJON
State : CA
Zip : 92019-3757
Country : US
Telephone Number : 619-447-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 03/12/2026

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Directions to “ DR. MERNA SHAMOON DDS” Practice Location

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