DR. Bansari Shah, B.D.S., M.D.S.

NPI #1891328837 in Aurora, Illinois

Provider Information

NPI Number: 1891328837
Entity Type: Individual
Name: DR. Bansari Shah, B.D.S., M.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: B.D.S., M.D.S.
Enumeration Date: Feb 18, 2020
Last Updated: Dec 20, 2023

Practice Location

Address: 2124 OGDEN AVENUE
Address 2: SUITE 104
City: Aurora
State: Illinois
ZIP Code: 60504
Phone: (630) 585-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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