Individual
SHABNAM AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2037 SE 29TH ST, TOPEKA, KS 66605-2457
(785) 267-9500
(785) 267-9505
Mailing address
2037 SE 29TH ST, TOPEKA, KS 66605-2457
(785) 267-9500
(785) 267-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2009028339
MO
1223G0001X
General Practice Dentistry
Primary
60756
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200632870A
—
KS
05
—
200632870B
—
KS
05
—
200632870C
—
KS
01
—
2143200
UNITED CONCORDIA
KS
Enumeration date
12/28/2009
Last updated
03/26/2015
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