Individual
LOPA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
408 NEW BRITAIN AVE, HARTFORD, CT 06106-3889
(860) 263-8544
Mailing address
911 CANYON RIDGE DR, BROAD BROOK, CT 06016-5607
(832) 941-8991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11724
CT
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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