Individual
MANUSH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
470 LEWIS AVE, MERIDEN, CT 06451-2103
(203) 440-4199
Mailing address
159 GORMAN ST, NAUGATUCK, CT 06770-4543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13900
CT
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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