Individual
PANKTI HITENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 BURNSIDE AVE, EAST HARTFORD, CT 06108-2315
(860) 289-9558
Mailing address
270 BURNSIDE AVE, EAST HARTFORD, CT 06108-2315
(860) 289-9558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14154
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2023
Last updated
07/29/2024
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