| Ishani Shah Dds, Inc | |
|
27001 Moulton Pkwy Ste A206 Laguna Hills CA 92656-3628 | |
| (949) 831-8391 | |
| (949) 716-7429 |
| Full Name | Ishani Shah Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27001 Moulton Pkwy Ste A206, Laguna Hills, California |
| Authorized Official Name and Position | Ishani Shah (OWNER) |
| Authorized Official Contact | 1949831839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ishani Shah Dds, Inc 27001 Moulton Pkwy Ste A206 Laguna Hills CA 92656-3628 Ph: (949) 831-8391 | Ishani Shah Dds, Inc 27001 Moulton Pkwy Ste A206 Laguna Hills CA 92656-3628 Ph: (949) 831-8391 |
| NPI Number | 1003599556 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003599556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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