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1417331497
POONAM SHAH
SAN ANTONIO, TX
NPI
1417331497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 64733)
Enumeration Date
2015-07-19
Last Update Date
2020-02-24
Business Address
POONAM SHAH DDS
11600 BANDERA RD STE 126
SAN ANTONIO, TX 78250-6806
Phone number: 951-316-9574
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Mailing Address
POONAM SHAH DDS
571 RUTH CIR
CORONA, CA 92879-8088
Phone number: 951-316-9574
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