Provider Demographics
NPI:1003012170
Name:CARE NOW DENTAL
Entity Type:Organization
Organization Name:CARE NOW DENTAL
Other - Org Name:KISHORE SHAH DDS INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KISHORE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-899-2505
Mailing Address - Street 1:13277 VAN NUYS BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331
Mailing Address - Country:US
Mailing Address - Phone:818-899-2505
Mailing Address - Fax:818-899-2507
Practice Address - Street 1:13277 VANY NUYS BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331
Practice Address - Country:US
Practice Address - Phone:818-899-2505
Practice Address - Fax:818-899-2507
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KISHORE SHAH DDS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-25
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty