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Organization
VIRENDRA SHAH D.D.S. P.C.
Active
Organization
VIRENDRA SHAH D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRENDRA SHAH D.D.S. (GENERAL DENTIST)
(718) 649-1398
Entity
Organization
Contact information
Practice address
190 COZINE AVE, BROOKLYN, NY 11207-8867
(718) 649-1398
(718) 272-4688
Mailing address
190 COZINE AVE, BROOKLYN, NY 11207-8867
(718) 649-1398
(718) 272-4688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033327
NY
Other
Enumeration date
03/31/2008
Last updated
09/06/2023
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