Individual
BHAVINI HARISH SHELAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2801 COFFEE RD, BUILDING B, MODESTO, CA 95355-1756
(209) 727-4296
Mailing address
4232 ACCLAIM WAY, MODESTO, CA 95356-1884
(209) 727-4296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56738
CA
Other
Enumeration date
01/07/2008
Last updated
11/10/2016
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