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Organization
SAGAR M. SHAH, DENTIST P.C.
Active
Organization
SAGAR M. SHAH, DENTIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAGAR SHAH DMD (DENTIST / OWNER)
(516) 410-7586
Entity
Organization
Contact information
Practice address
8935 164TH ST, JAMAICA, NY 11432-5141
(516) 410-7586
Mailing address
8935 164TH ST, JAMAICA, NY 11432-5141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03706654
—
NY
Enumeration date
05/05/2017
Last updated
05/05/2017
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