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General NPI Number Information
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NPI Number | 1376012203
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Entity Type | Organization
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Legal Business Name | SHOKER DENTAL CARE INC.
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 2810 CROW CANYON RD STE 110
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City | SAN RAMON
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State | CA
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Zip | 94583-1670
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Country | US
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Telephone | 925-791-5005
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Fax | 925-791-5009
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Provider Business Mailing Address
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Address Line | 44435 VIEW POINT CIR
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City | FREMONT
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State | CA
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Zip | 94539-6261
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Country | US
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Telephone | 408-876-8640
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEVINDER SINGH SHOKER
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Credential | DDS
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Telephone | 408-876-8640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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