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Organization
JAYSHREE SHAH DDS INC
Active
Organization
JAYSHREE SHAH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHREE N SHAH DDS (CEO)
(714) 871-4892
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, STE 5, FULLERTON, CA 92835-3419
(714) 871-4892
Mailing address
301 W BASTANCHURY RD, STE 5, FULLERTON, CA 92835-3419
(714) 871-4892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B34900
DENTI-CAL
CA
Enumeration date
05/12/2015
Last updated
05/12/2015
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