Provider Demographics
NPI:1023579208
Name:D.SHOKER DENTAL INC.
Entity Type:Organization
Organization Name:D.SHOKER DENTAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHOKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-791-5005
Mailing Address - Street 1:2810 CROW CANYON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1670
Mailing Address - Country:US
Mailing Address - Phone:925-791-5005
Mailing Address - Fax:925-791-5009
Practice Address - Street 1:2810 CROW CANYON RD STE 110
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1670
Practice Address - Country:US
Practice Address - Phone:925-791-5005
Practice Address - Fax:925-791-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental