Individual
ANKITA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
194 FRANCISCO LN, STE. 112, FREMONT, CA 94539-7926
(510) 659-0130
(510) 659-0177
Mailing address
39440 CIVIC CENTER DR, APT. 408, FREMONT, CA 94538-3285
(812) 560-8056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011405A
IN
1223G0001X
General Practice Dentistry
Primary
59493
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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