| Kishore Shah DDS Inc. | |
|
13277 Vany Nuys Blvd Unit A Pacoima CA 91331 | |
| (818) 899-2505 | |
| (818) 899-2507 |
| Full Name | Kishore Shah DDS Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13277 Vany Nuys Blvd Unit A, Pacoima, California |
| Authorized Official Name and Position | Kishore K. Shah (OWNER) |
| Authorized Official Contact | 8188992505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishore Shah DDS Inc. 13277 Van Nuys Blvd Unit A Pacoima CA 91331 Ph: (818) 899-2505 | Kishore Shah DDS Inc. 13277 Vany Nuys Blvd Unit A Pacoima CA 91331 Ph: (818) 899-2505 |
| NPI Number | 1003012170 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003012170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30003 (California) | Primary |
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