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NPI 1780197764

IndividualActive

Akely Shiro, DENTAL ASSISTANT

NPI 1780197764 · Dental Assistant · Fort Irwin, CA

Provider details

NPI number: 1780197764
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: DENTAL ASSISTANT
Sex: Male
Sole proprietor: No

Practice location

Bldg 171

4th & Inner Loop Road

Fort Irwin, CA 92310

Phone: (719) 526-5537

More CA providers

Mailing address

Bldg 171

Fort Irwin, CA 92310

Registry dates

Enumerated: 2017-11-13
Last updated: 2017-11-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Akely Shiro, DENTAL ASSISTANT — NPI 1780197764, Fort Irwin, CA | NPI Central