Samir B Shah, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Rialto, CA
- NPI
- 1457412611
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 53272 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-12-12
- Last updated
- 2012-11-06
Practice location
469 W Base Line Rd
Rialto, CA 92376-3379
(909) 746-0444