Individual
MARIA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 254-3338
Mailing address
24523 LONG ARROW, SAN ANTONIO, TX 78258-3269
(210) 488-0084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34740
TX
Other
Enumeration date
03/28/2018
Last updated
10/20/2022
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