Individual
MR. CHETAN NAGINLAL SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
769 CONCOURSE VLG W, BRONX, NY 10451-3801
(718) 665-1843
(718) 665-1843
Mailing address
769 CONCOURSE VLG W, BRONX, NY 10451-3801
(718) 665-1843
(718) 665-1843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00819181
—
NY
Enumeration date
09/19/2005
Last updated
07/08/2007
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