DR. Kishore M Shah IX, DDS

NPI #1356564462 in Ridgewood, New York

Provider Information

NPI Number
1356564462
Entity Type
Individual
Name
DR. Kishore M Shah IX, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 10, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
321 WYCKOFF AVE
ZIP Code
11385-2753
Phone
(718) 386-3288

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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