SearchCalifornia122300000X

Shady Kerolles, DDS

NPI 1215629498 · on the registry since 2023 · sole proprietor

Practice

Address
15342 Saverne Cir
Irvine, CA 92604
Phone
(714) 402-8237

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California