Individual provider · Type 1 NPI
Poonam Shah, DDS
General Practice Dentistry · San Antonio, TX
NPI number
1417331497
Active
Practice location
11600 Bandera Rd Ste 126
San Antonio, TX 78250-6806
Mailing address
571 Ruth Cir
Corona, CA 92879-8088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 64733 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1417331497
Poonam Shah, DDS's National Provider Identifier is 1417331497, issued on Jul 19, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Feb 24, 2020.