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General NPI Number Information
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NPI Number | 1851910491
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Entity Type | Organization
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Legal Business Name | AMIT SHAH DDS INC
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 831 E LAMBERT RD STE C
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City | LA HABRA
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State | CA
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Zip | 90631-9356
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Country | US
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Telephone | 562-694-3984
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Fax | 562-888-4723
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Provider Business Mailing Address
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Address Line | 137 W CHAPMAN AVE STE A
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City | FULLERTON
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State | CA
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Zip | 92832-1473
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Country | US
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Telephone | 714-823-3743
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIT SHAH
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Credential | DDS
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Telephone | 714-823-3743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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