Kinnar R Shah Dmd PA

NPI #1457032807 in Mount Dora, Florida

Provider Information

NPI Number
1457032807
Entity Type
Organization
Organization Name
Kinnar R Shah Dmd PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 28, 2023
Last Updated
Jul 28, 2023

Practice Location

Address
121 WATERMAN AVE
State
Florida
ZIP Code
32757-9541
Phone
(352) 735-0738

Authorized Official

Name
KINNAR RAMESHCHANDRA SHAH, MD
Title
PRESIDENT, OWNER
Phone
(215) 385-1003

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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