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Organization
AMIT SHAH D.D.S
Active
Organization
AMIT SHAH D.D.S
Active
Other names
Creative Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT SHAH D.D.S (OWNER DENTIST)
(714) 738-6001
Entity
Organization
Contact information
Practice address
137 W CHAPMAN AVE STE A, FULLERTON, CA 92832-1473
(714) 738-6001
(714) 738-0179
Mailing address
137 W. CHAPMAN AVE #A, FULLERTON, CA 92832
(714) 738-6001
(714) 738-0179
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
49805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437207701
INDIVIDUAL
CA
Enumeration date
03/21/2017
Last updated
03/21/2017
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