| NPI | 1003012170 |
|---|---|
| Other Name | KISHORE SHAH DDS INC. |
| Entity Type | Organization |
| Authorized Contact | KISHORE K. SHAH Owner 818-899-2505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30003) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2015-05-15 |