Anshul Mikin Shah

NPI #1639785850 in Rockford, Illinois

Provider Information

NPI Number: 1639785850
Entity Type: Individual
Name: Anshul Mikin Shah
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 6066 STRATHMOOR DR
City: Rockford
State: Illinois
ZIP Code: 61107-6633
Phone: (815) 226-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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