Shiva Amanat, DMD Valid NPI

Individual provider · Dentist · San Clemente, CA

NPI

1750996468

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

105314 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-09-09

Last updated

2026-07-23