| Shriraj Shah Dds, Inc | |
|
16184 Foothill Blvd Ste K Fontana CA 92335-7400 | |
| (909) 770-8916 | |
| Not Available |
| Full Name | Shriraj Shah Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16184 Foothill Blvd Ste K, Fontana, California |
| Authorized Official Name and Position | Shriraj Ashok Shah (OWNER DENTIST) |
| Authorized Official Contact | 4085317182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shriraj Shah Dds, Inc 16675 Slate Dr Unit 122 Chino Hills CA 91709-7402 Ph: () - | Shriraj Shah Dds, Inc 16184 Foothill Blvd Ste K Fontana CA 92335-7400 Ph: (909) 770-8916 |
| NPI Number | 1003588302 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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