Organization
DR AQEELA SYEDA SHAH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AQEELA SYEDA SHAH DDS (PRESIDENT)
(714) 554-5062
Entity
Organization
Contact information
Practice address
3839 W 1ST ST, B-1, SANTA ANA, CA 92703-4075
(714) 554-5062
(714) 554-5063
Mailing address
3839 W 1ST ST, B-1, SANTA ANA, CA 92703-4075
(714) 554-5062
(714) 554-5063
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58179
CA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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