# AMIT SHAH DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164585055
- **Authorized official:** MR. AMIT SHAH (OWNER)
- **Authorized official phone:** (969) 646-0818

## Contact information

- **Practice address:** 355 PLACENTIA AVE, \# 205, NEWPORT BEACH, CA 92663
- **Practice address phone:** (949) 646-0818
- **Practice address fax:** (949) 646-0006
- **Mailing address:** 355 PLACENTIA AVE, \# 205, NEWPORT BEACH, CA 92663
- **Mailing address phone:** (949) 646-0818
- **Mailing address fax:** (949) 646-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 49805 | CA | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 06/17/2008