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Individual

DR. NAWAL F SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1593 PUCKER ST, STOWE, VT 05672-4579
(802) 253-4157
(802) 253-7025
Mailing address
1593 PUCKER ST, STOWE, VT 05672-4579
(802) 253-4157
(802) 253-7025

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2205
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005876
VT
Enumeration date
10/19/2006
Last updated
07/08/2007
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