Individual
DR. KRUTI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12723 N BELLWOOD DR STE 20, HOLLAND, MI 49424-7275
(616) 377-7333
Mailing address
2138 BY WATERS CT NE, GRAND RAPIDS, MI 49525-2853
(310) 447-4115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901600795SCA210EC
MI
Other
Enumeration date
05/21/2014
Last updated
03/23/2023
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