Gp Dentistry Fairfield, LLC
NPI #1003266362 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1003266362
- Entity Type
- Organization
- Organization Name
- Gp Dentistry Fairfield, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 17, 2016
- Last Updated
- Jun 20, 2016
Practice Location
- Address
- 400 POST RD
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06824-6244
- Phone
- (203) 255-2493
Authorized Official
- Name
- MR. KOSHA SHAH, DDS
- Title
- OWNER DENTIST
- Phone
- (650) 288-8453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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