Organization
MK SHAH DMD PC
Active
Other names
MY DENTAVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MANSI SHAH DMD (DENTIST)
(336) 249-2906
Entity
Organization
Contact information
Practice address
227 N TALBERT BLVD, LEXINGTON, NC 27292-4142
(336) 249-2906
Mailing address
227 N TALBERT BLVD, LEXINGTON, NC 27292-4142
(336) 249-2906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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