Individual
DR. RAIME SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405-7538
(707) 525-0555
Mailing address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405-7538
(650) 550-0056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105763
CA
1223P0300X
Periodontics
Primary
DDS105763
CA
Other
Enumeration date
11/02/2020
Last updated
01/03/2024
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