Individual
AVANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8611 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4001
(310) 846-0172
Mailing address
6505 GREEN VALLEY CIR, UNIT 207, CULVER CITY, CA 90230-7083
(770) 337-8667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS100656
CA
Other
Enumeration date
08/15/2016
Last updated
11/18/2016
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