Individual
DR. KAVI HARESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25710 UNION TPKE, GLEN OAKS, NY 11004-1252
(718) 343-7700
Mailing address
25710 UNION TPKE, GLEN OAKS, NY 11004-1252
(718) 343-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057528
NY
Other
Enumeration date
08/06/2014
Last updated
08/14/2014
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