Organization
KS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANCHI BHAVAN SHAH DDS (ORTHODONTIST)
(440) 864-1786
Entity
Organization
Contact information
Practice address
1555 HIGHLANDS DR STE 190, LITITZ, PA 17543-2800
(717) 303-3051
Mailing address
981 KING WAY, BREINIGSVILLE, PA 18031-1483
(440) 864-1786
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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