Individual
CHINTAN PIYUSH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Mailing address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021058
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2013
Last updated
10/13/2019
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