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Organization
SHAH & VELILLA DDS PC
Active
Organization
SHAH & VELILLA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV K SHAH DDS (OWNER)
(248) 427-9003
Entity
Organization
Contact information
Practice address
39915 GRAND RIVER AVE, SUITE 500, NOVI, MI 48375-2154
(248) 427-9003
(248) 427-9011
Mailing address
39915 GRAND RIVER AVE, SUITE 500, NOVI, MI 48375-2154
(248) 427-9003
(248) 427-9011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016090
MI
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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