Individual
DR. KAUSHIK A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3131 TREMAINSVILLE RD, TOLEDO, OH 43613-1848
(734) 854-8415
Mailing address
3131 TREMAINSVILLE RD, TOLEDO, OH 43613-1848
(419) 473-3196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19956
OH
1223G0001X
General Practice Dentistry
2901016373
MI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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