# ALTWAL AND SHELAT DDS INC

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

## Provider details

- **NPI number:** 1205443116
- **Authorized official:** BHAVINI SHELAT (PRESIDENT)
- **Authorized official phone:** (510) 456-6131

## Contact information

- **Practice address:** 1317 OAKDALE ROAD, SUITE 310, MODESTO, CA 95355
- **Practice address phone:** (209) 554-1700
- **Mailing address:** 4232 ACCLAIM WAY, MODESTO, CA 95356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020