Individual
KRISHNA VITTHAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001617-15
WI
Other
Enumeration date
06/27/2024
Last updated
07/08/2024
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