Individual
MRS. SHIVANI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
937 WILLOW BRIDGE DR, FOLSOM, CA 95630-7839
(916) 216-9159
Mailing address
937 WILLOW BRIDGE DR., FOLSOM, CA 95630
(916) 216-9159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29335
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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