Organization
DHAVAL SHAH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVAL M SHAH DDS (OWNER)
(909) 864-2002
Entity
Organization
Contact information
Practice address
28942 GREENSPOT RD, HIGHLAND, CA 92346-4423
(909) 864-2002
Mailing address
28942 GREENSPOT RD, HIGHLAND, CA 92346-4423
(909) 864-2002
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
47176
CA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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