Individual
SHIVANI J KESHAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8514 PARAMOUNT BLVD, DOWNEY, CA 90240-2169
(909) 895-9052
Mailing address
20567 E CANDLER CT, WALNUT, CA 91789-3877
(909) 895-9052
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104623
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
12/07/2021
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