Individual
DISHANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19 E GREGORY BLVD, KANSAS CITY, MO 64114-1117
(816) 444-2483
Mailing address
13745 MOHAWK RD APT 1110, LEAWOOD, KS 66224-4672
(931) 980-4711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020016919
MO
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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