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General NPI Number Information
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NPI Number | 1396478566
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Entity Type | Organization
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Legal Business Name | SHAMS SURGERIES DENTAL PRACTICE
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 8383 WILSHIRE BLVD STE 358
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2436
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Country | US
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Telephone | 310-663-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 8383 WILSHIRE BLVD STE 358
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2436
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Country | US
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Telephone | 310-663-4303
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | TAMIR SHAMS
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Credential | DMD
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Telephone | 310-663-4323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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