Rutu Jignesh Shah, DDS

NPI #1053929976 in Port Hueneme, California

Provider Information

NPI Number: 1053929976
Entity Type: Individual
Name: Rutu Jignesh Shah, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 16, 2020
Last Updated: Jul 16, 2020

Practice Location

Address: 521 W CHANNEL ISLANDS BLVD STE 8
City: Port Hueneme
State: California
ZIP Code: 93041-2132
Phone: (805) 815-4356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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