Individual
KAUSHAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 HOSPITAL DR, OSCEOLA, MO 64776-9547
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020030132
MO
122300000X
Dentist
DN1858506
MA
Other
Enumeration date
10/01/2019
Last updated
09/25/2020
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