Provider Demographics
NPI:1336328392
Name:AAMIR SHAH, DDS A DENTAL CORPORATION
Entity Type:Organization
Organization Name:AAMIR SHAH, DDS A DENTAL CORPORATION
Other - Org Name:LA PALMA FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-228-1600
Mailing Address - Street 1:7872 WALKER ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1748
Mailing Address - Country:US
Mailing Address - Phone:714-228-1600
Mailing Address - Fax:714-228-1624
Practice Address - Street 1:7872 WALKER ST STE 105
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1748
Practice Address - Country:US
Practice Address - Phone:714-228-1600
Practice Address - Fax:714-228-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG98420-01OtherHEALTHY FAMILIES CA
CAB38362-01OtherDENTICAL