Organization
AMIT LALIT SHAH DDS INC
Active
Other names
Tustin Smiles dental office of Dr. Shah
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT LALIT SHAH (OWNER)
(562) 694-3984
Entity
Organization
Contact information
Practice address
17601 17TH ST STE 100, TUSTIN, CA 92780-1946
(714) 544-7511
(714) 544-8918
Mailing address
17601 17TH ST STE 100, TUSTIN, CA 92780-1946
(714) 544-7511
(714) 544-8918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9331401
MEDICAL
CA
Enumeration date
03/01/2007
Last updated
02/08/2021
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