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Individual

DR. KUMAR C SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS, MS

Contact information

Practice address
100 UCLA MEDICAL PLZ, SUITE 350, LOS ANGELES, CA 90095-0001
(310) 794-5750
(310) 208-0786
Mailing address
10833 LE CONTE AVE B3-087 CHS, LOS ANGELES, CA 90095-1668
(310) 206-7014

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DDS103505
CA
1223P0700X
Prosthodontics
SP237
CA

Other

Enumeration date
05/08/2007
Last updated
02/10/2022
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