Individual
MANSI NAYANKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 MAIN ST, TORRINGTON, CT 06790-3603
(860) 618-5757
Mailing address
7 ACADIA LN PH 5409, SHELTON, CT 06484-4465
(469) 400-3163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11879
CT
Other
Enumeration date
08/31/2017
Last updated
05/16/2023
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