Individual
SYED IMRAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
(717) 558-0042
Mailing address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041051
PA
Other
Enumeration date
07/04/2015
Last updated
09/14/2016
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