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General NPI Number Information
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NPI Number | 1194653824
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Entity Type | Organization
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Legal Business Name | DR N SHAGRAMANOVA AND DR K SHAGRAMANOVA DENTAL GROUP INC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3061 WABASH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90063-2765
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Country | US
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Telephone | 213-656-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 3061 WABASH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90063-2765
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. NATALYA SHAGRAMANOVA
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Credential | DDS
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Telephone | 818-653-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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