Individual
MR. AMIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 W CHAPMAN AVE STE A, FULLERTON, CA 92832-1473
(714) 738-6001
(714) 738-0179
Mailing address
137 W CHAPMAN AVE STE A, FULLERTON, CA 92832-1473
(714) 738-6001
(714) 738-0179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9331401
MEDICAL
CA
Enumeration date
01/05/2007
Last updated
12/15/2020
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