| Jayshree Shah Dds Inc | |
|
301 W Bastanchury Rd Ste 5 Fullerton CA 92835-3419 | |
| (714) 871-4892 | |
| Not Available |
| Full Name | Jayshree Shah Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 301 W Bastanchury Rd, Fullerton, California |
| Authorized Official Name and Position | Jayshree N Shah (CEO) |
| Authorized Official Contact | 7148714892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayshree Shah Dds Inc 301 W Bastanchury Rd Ste 5 Fullerton CA 92835-3419 Ph: (714) 871-4892 | Jayshree Shah Dds Inc 301 W Bastanchury Rd Ste 5 Fullerton CA 92835-3419 Ph: (714) 871-4892 |
| NPI Number | 1861870735 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861870735 | NPI | - | NPPES |
| B34900 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34900 (California) | Primary |
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