Shitabata, Evangeline Uy

Shitabata, Evangeline Uy is an individual health care provider with primary practice located at 23451 Madison St #170, Torrance CA 90505-4763. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Shitabata, Evangeline Uy can be contacted via phone (310) 375-5437.

Contact Information

Primary practice address
23451 Madison St #170 Torrance CA 90505-4763
Fax: (310) 375-7608
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 40037 California

Profile Details

NPI number 1376543835
LBN Legal business name Shitabata, Evangeline Uy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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