Shah, Mamta

Shah, Mamta is an individual health care provider with primary practice located at 39572 Stevenson Pl Ste 123 , Fremont CA 94539-3109. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shah, Mamta can be contacted via phone (510) 796-9972.

Contact Information

Primary practice address
39572 Stevenson Pl Ste 123 Fremont CA 94539-3109
Fax: (510) 796-9974
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 41215 California

Profile Details

NPI number 1457416174
LBN Legal business name Shah, Mamta
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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