Individual
AQEELA S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3839 W 1ST ST, B-1, SANTA ANA, CA 92703-4075
(714) 554-5062
(714) 554-5063
Mailing address
3839 W 1ST ST, B-1, SANTA ANA, CA 92703-4075
(714) 554-5062
(714) 554-5063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58179
CA
Other
Enumeration date
05/22/2009
Last updated
07/10/2013
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