Individual
AYESHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19620 KUYKENDAHL RD STE 210, SPRING, TX 77379-3457
(713) 352-7167
Mailing address
8840 MEMORIAL DR, HOUSTON, TX 77024-5809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
108716
CA
1223G0001X
General Practice Dentistry
Primary
37923
TX
Other
Enumeration date
11/23/2021
Last updated
05/08/2023
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