Shriraj Ashok Shah, DMD Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1386255461
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 105180 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-08-12
- Last updated
- 2021-12-07
Practice location
16184 Foothill Blvd Ste K
Fontana, CA 92335-7400
(909) 770-8916