Individual
MRS. ROHINI KETAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 366-4442
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8910
KY
Other
Enumeration date
06/11/2010
Last updated
12/29/2010
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