Individual
DR. HINA M SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3955 OKEMOS RD, SUITE B3, OKEMOS, MI 48864-4208
(517) 381-9941
(517) 381-9958
Mailing address
3955 OKEMOS RD, SUITE B3, OKEMOS, MI 48864-4208
(517) 381-9941
(517) 381-9958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4230813
—
MI
Enumeration date
11/08/2006
Last updated
07/08/2007
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