| Rajul Shah Dental Corporation | |
|
701 W Esplanade Ave San Jacinto CA 92582-4540 | |
| (951) 654-3424 | |
| (951) 654-9423 |
| Full Name | Rajul Shah Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 W Esplanade Ave, San Jacinto, California |
| Authorized Official Name and Position | Rajul M Shah (PRESIDENT) |
| Authorized Official Contact | 9513008171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajul Shah Dental Corporation 17586 Dry Run Ct Riverside CA 92504-8820 Ph: (951) 300-8171 | Rajul Shah Dental Corporation 701 W Esplanade Ave San Jacinto CA 92582-4540 Ph: (951) 654-3424 |
| NPI Number | 1497184675 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497184675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D50823 (California) | Primary |
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