Individual
SAMYAK SHASHIKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 E BRIDGE ST, BRIGHTON, CO 80601-1934
(303) 659-1064
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-4031
(505) 925-4030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205693
CO
Other
Enumeration date
04/13/2022
Last updated
07/24/2023
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