Individual
DHAVAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MDS
Contact information
Practice address
28942 GREENSPOT RD, HIGHLAND, CA 92346-4423
(909) 864-2002
(909) 864-2322
Mailing address
28942 GREENSPOT RD, HIGHLAND, CA 92346-4423
(909) 864-2002
(909) 864-2322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47176
CA
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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