SHADY KEROLLES, DDS
Dentist
Active
Individual
NPI: 1215629498
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 109121 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1215629498 is the National Provider Identifier for SHADY KEROLLES, DDS, a Dentist provider located in Irvine, CA. This NPI was enumerated on May 24, 2023.
SHADY KEROLLES, DDS practices at 15342 SAVERNE CIR, Irvine, CA 92604.
Quick Facts
- NPI
- 1215629498
- Type
- Individual
- Enumerated
- May 24, 2023
- Last Updated
- Aug 17, 2023
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