DR. Girish J Shah, DDS

NPI #1962632422 in Patchogue, New York

Provider Information

NPI Number: 1962632422
Entity Type: Individual
Name: DR. Girish J Shah, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 19, 2009
Last Updated: Jul 19, 2009

Practice Location

Address: 1 E ROE BLVD
City: Patchogue
State: New York
ZIP Code: 11772-2631
Phone: (631) 475-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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