Individual
KUSHAN K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 WINTONBURY MALL STE 5, BLOOMFIELD, CT 06002-2466
(860) 656-6941
Mailing address
7 ACADIA LN PH 5409, SHELTON, CT 06484-4465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11878
CT
Other
Enumeration date
09/15/2017
Last updated
03/17/2018
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