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Organization
PRATIK SHAH DDS INC.
Active
Organization
PRATIK SHAH DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIK M SHAH DDS (PRESIDENT)
(951) 685-8500
Entity
Organization
Contact information
Practice address
9415 MISSION BLVD, STE# L, RIVERSIDE, CA 92509-2600
(951) 685-8500
(951) 685-8488
Mailing address
9415 MISSION BLVD, STE# L, RIVERSIDE, CA 92509-2600
(951) 685-8500
(951) 685-8488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46959
CA
Other
Enumeration date
11/11/2006
Last updated
08/22/2020
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