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Organization
VIKRAMKUMAR H SHAH D.D.S INC
Active
Organization
VIKRAMKUMAR H SHAH D.D.S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM SHAH D.D.S (PRESIDENT/DENTIST)
(818) 365-0605
Entity
Organization
Contact information
Practice address
907 TRUMAN ST, SAN FERNANDO, CA 91340-3316
(818) 365-0605
(818) 365-5305
Mailing address
907 TRUMAN ST, SAN FERNANDO, CA 91340-3316
(818) 365-0605
(818) 365-5305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932317005
DENTICAL
CA
Enumeration date
08/22/2013
Last updated
08/22/2013
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