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Organization
SHAHU DENTISTRY, PLLC DBA EXCEL DENTAL DEPOT
Active
Organization
SHAHU DENTISTRY, PLLC DBA EXCEL DENTAL DEPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNA SHAH DMD (OWNER)
(989) 387-9767
Entity
Organization
Contact information
Practice address
3368 S LINDEN RD, FLINT, MI 48507-3008
(989) 387-9767
Mailing address
6415 MOONSTONE DR, GRAND BLANC, MI 48439-7811
(989) 387-9767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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