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Organization
MAULIK SHAH DENTAL CORPORATION
Active
Organization
MAULIK SHAH DENTAL CORPORATION
Active
Other names
ACCORD DENTAL,PRACTICE OF MAULIK SHAH DENTAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAULIK M SHAH DDS (OWNER DENTIST/CEO)
(209) 247-3307
Entity
Organization
Contact information
Practice address
4120 DALE RD, SUITE J-6, MODESTO, CA 95356-9232
(209) 247-3307
Mailing address
4116 DRAGOO PARK DR, MODESTO, CA 95356-1860
(209) 247-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50677
CA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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