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Individual

ADRIENNE ANSON SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
43025 W 12 MILE RD, NOVI, MI 48377-3012
(248) 478-3232
Mailing address
163 W KENILWORTH AVE, ROYAL OAK, MI 48067-3262
(616) 843-1990

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901601999
MI

Other

Enumeration date
06/06/2023
Last updated
09/22/2025
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