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NPI 1508268749 · live from the CMS NPI Registry

A.S.Shah,DMD, INC.

Dentist in Norco, CA. National Provider Identifier 1508268749, active.

NPI record

NPI1508268749 Type 2 · organization
StatusActive
Primary specialtyDentist 122300000X
Practice location2641 Hamner Ave, Suite 101, Norco, CA 92860
Practice phone951-730-7770
Mailing address2641 Hamner Ave, Suite # 101, Norco, CA 92860
EnumeratedSeptember 18, 2014
Last updatedSeptember 18, 2014
Authorized officialAmi Shah, President
Other namesAbsolute Dental Practice

Taxonomies and licenses

TaxonomyCodeLicense
Dentist primary122300000X53672 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.