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Individual

DR. HARDIK JAYESH SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9813 N LAMAR BLVD, AUSTIN, TX 78753-4113
(512) 593-4463
Mailing address
10608 PLUCHEA CV, AUSTIN, TX 78733-5721
(909) 751-5291

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39639
TX

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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