DR. Shivani R Shah, DMD

NPI #1306452289 in Dixon, Illinois

Provider Information

NPI Number
1306452289
Entity Type
Individual
Name
DR. Shivani R Shah, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Sep 16, 2020
Last Updated
Sep 16, 2020

Practice Location

Address
1355 N GALENA AVE
City
Dixon
ZIP Code
61021-1009
Phone
(815) 284-1995

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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