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Organization
KINNAR R SHAH DMD PA
Active
Organization
KINNAR R SHAH DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINNAR RAMESHCHANDRA SHAH MD (PRESIDENT, OWNER)
(215) 385-1003
Entity
Organization
Contact information
Practice address
121 WATERMAN AVE, MOUNT DORA, FL 32757-9541
(352) 735-0738
Mailing address
30 LIVE OAK RD, WINTER GARDEN, FL 34787-9115
(215) 385-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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