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Organization
RAJUL SHAH DENTAL CORPORATION
Active
Organization
RAJUL SHAH DENTAL CORPORATION
Active
Other names
RIVERSIDE DENTAL & HEALTHCARE MANAGEMENT INCORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJUL M SHAH DDS (PRESIDENT)
(951) 300-8171
Entity
Organization
Contact information
Practice address
701 W ESPLANADE AVE, SAN JACINTO, CA 92582-4540
(951) 654-3424
(951) 654-9423
Mailing address
17586 DRY RUN CT, RIVERSIDE, CA 92504-8820
(951) 300-8171
(951) 654-9423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D50823
CA
Other
Enumeration date
11/07/2013
Last updated
12/19/2013
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