Individual
CHINTAN N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15723 N 102ND ST, SCOTTSDALE, AZ 85255-8616
(773) 680-6090
Mailing address
15723 N 102ND ST, SCOTTSDALE, AZ 85255-8616
(773) 680-6090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020580
MI
1223P0700X
Prosthodontics
Primary
D9106
AZ
Other
Enumeration date
11/17/2012
Last updated
01/05/2019
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