Individual
JOSHUA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 W 3RD ST STE 101, LA JUNTA, CO 81050-1465
(719) 384-8703
Mailing address
317 W 3RD ST STE 101, LA JUNTA, CO 81050-1465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205356
CO
122400000X
Denturist
2901601362
MI
Other
Enumeration date
07/13/2022
Last updated
12/11/2024
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