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Organization
SHAH DENTAL ASSOCIATES INC
Active
Organization
SHAH DENTAL ASSOCIATES INC
Active
Other names
Innovative Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT SHAH DDS (PRESIDENT)
(562) 860-6626
Entity
Organization
Contact information
Practice address
10929 SOUTH ST, STE 110B, CERRITOS, CA 90703-5340
(562) 860-6626
(562) 860-6628
Mailing address
10929 SOUTH ST, STE 110B, CERRITOS, CA 90703-5340
(562) 860-6626
(562) 860-6628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49805
CA
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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