Organization
KRUPALI SHAH DDS PLLC
Active
Other names
Bethpage Smiles Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRUPALI SHAH DDS (PRESIDENT)
(773) 407-1004
Entity
Organization
Contact information
Practice address
549 STEWART AVE, BETHPAGE, NY 11714-2706
(516) 288-8393
Mailing address
5 WILLETS DR, SYOSSET, NY 11791-3913
(773) 407-1004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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