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Individual

DR. CLARISSA SUZETTE BURQUEZ SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
14545 LEFFINGWELL RD UNIT A, WHITTIER, CA 90604-2898
(562) 941-8600
Mailing address
3980 S MERRYVALE WAY, ONTARIO, CA 91761-3833
(562) 656-9515

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106276
CA

Other

Enumeration date
07/01/2021
Last updated
06/08/2025
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