Individual
DR. ANJU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16455 MAIN ST STE 17, HESPERIA, CA 92345-3505
(760) 444-0052
Mailing address
2205 RUSTY PUMP RD, DIAMOND BAR, CA 91765-3376
(909) 641-1991
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
47150
CA
Other
Enumeration date
09/28/2007
Last updated
05/05/2025
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