Organization
MAULIK SHAH,DDS, INC
Active
Other names
Riverbank Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK MAHENDRABHAI SHAH DDS (PRESIDENT)
(209) 247-3307
Entity
Organization
Contact information
Practice address
2603 PATTERSON RD STE 5, RIVERBANK, CA 95367-3407
(209) 315-6300
(209) 315-6363
Mailing address
4116 DRAGOO PARK DR, MODESTO, CA 95356-1860
(209) 247-3307
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
01/19/2023
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