Individual
AMIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3392 E WEST MAPLE RD, COMMERCE TOWNSHIP, MI 48390-3807
(248) 624-5551
(248) 624-2475
Mailing address
3392 E. WEST MAPLE RD., COMMERCE TOWNSHIP, MI 48390-3807
(248) 624-5551
(248) 624-2475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20164
MI
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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