Individual
BINITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E LAKEVIEW AVE, WOODLAKE, CA 93286-1301
(877) 960-3426
Mailing address
201 E LAKEVIEW AVE, WOODLAKE, CA 93286-1301
(954) 292-6836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11703
CT
122300000X
Dentist
32612
TX
1223G0001X
General Practice Dentistry
Primary
101706
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2016
Last updated
09/02/2021
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