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Organization

SHAHU DENTISTRY, PLLC DBA EXCEL DENTAL DEPOT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PURNA SHAH DMD (OWNER)
(989) 387-9767
Entity
Organization

Contact information

Practice address
3368 S LINDEN RD, FLINT, MI 48507-3008
(989) 387-9767
Mailing address
6415 MOONSTONE DR, GRAND BLANC, MI 48439-7811
(989) 387-9767

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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