Organization
B SHELAT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVINI SHELAT (PRESIDENT)
(510) 456-6136
Entity
Organization
Contact information
Practice address
4925 SISK RD STE A, SALIDA, CA 95368-9400
(510) 456-6136
Mailing address
4232 ACCLAIM WAY, MODESTO, CA 95356-1884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56738
CA
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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