Provider Demographics
NPI:1609514173
Name:SHALINI SHAH DDS AND MSCHREIBER DENTAL GROUP INC
Entity Type:Organization
Organization Name:SHALINI SHAH DDS AND MSCHREIBER DENTAL GROUP INC
Other - Org Name:PICO RIVERA DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-695-5251
Mailing Address - Street 1:5942 EDINGER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1774
Mailing Address - Country:US
Mailing Address - Phone:714-379-7755
Mailing Address - Fax:714-377-0125
Practice Address - Street 1:8532 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2520
Practice Address - Country:US
Practice Address - Phone:562-695-5251
Practice Address - Fax:562-695-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty