Khantil R Shah, DMD
NPI #1194134601 in Pascoag, Rhode Island
Provider Information
- NPI Number
- 1194134601
- Entity Type
- Individual
- Name
- Khantil R Shah, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 8, 2014
- Last Updated
- Jul 17, 2015
Practice Location
- Address
- 36 BRIDGE WAY
- City
- Pascoag
- State
- Rhode Island
- ZIP Code
- 02859-3131
- Phone
- (401) 567-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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