Kushan K Shah

NPI #1134648660 in Bloomfield, Connecticut

Provider Information

NPI Number: 1134648660
Entity Type: Individual
Name: Kushan K Shah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 15, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 2 WINTONBURY MALL STE 5
City: Bloomfield
State: Connecticut
ZIP Code: 06002-2466
Phone: (860) 656-6941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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