Individual
AMER SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10707 W BELOIT RD, GREENFIELD, WI 53228-1225
(414) 209-7465
Mailing address
10707 W BELOIT RD, GREENFIELD, WI 53228-1225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002452-15
WI
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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