Provider Demographics
NPI:1104612548
Name:ALWAN AND SHAYEFAR DENTAL CORP.
Entity type:Organization
Organization Name:ALWAN AND SHAYEFAR DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:ALWAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-633-3082
Mailing Address - Street 1:8524 1/2 ROSECRANS AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-3644
Mailing Address - Country:US
Mailing Address - Phone:562-633-3082
Mailing Address - Fax:562-633-3067
Practice Address - Street 1:8524 1/2 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-3644
Practice Address - Country:US
Practice Address - Phone:562-633-3082
Practice Address - Fax:562-633-3067
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALWAN AND SHAYEFAR DENTAL CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty