Individual
DR. ANSHUMI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 BARBOZA ST, MENDOTA, CA 93640-1901
(424) 350-1644
Mailing address
6104 PRESTON CIR, ROCKLIN, CA 95765-4773
(424) 350-1644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107376
CA
Other
Enumeration date
11/22/2022
Last updated
11/29/2022
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