Organization
JALPAN SHAH DDS MDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALPAN MANHARLAL SHAH DDS,MDS (PRESIDENT)
(909) 799-5656
Entity
Organization
Contact information
Practice address
1215 N WABASH AVE, REDLANDS, CA 92374-4963
(909) 794-5860
(909) 794-1614
Mailing address
11872 CARDINAL CT, LOMA LINDA, CA 92354-6748
(909) 799-5656
(909) 663-5040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51303
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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