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1063990042
EILEEN SHAH
MENIFEE, CA
NPI
1063990042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 102913)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
EILEEN SHAH
29950 HAUN RD STE 302
MENIFEE, CA 92586-6527
Phone number: 951-679-1667
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Mailing Address
EILEEN SHAH
6605 MONTECARLO PL
RANCHO CUCAMONGA, CA 91701-9013
Phone number: 909-605-3096
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