Individual
AMY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2102 N COUNTRY CLUB RD, TUCSON, AZ 85716-2831
(520) 323-1400
Mailing address
2102 N COUNTRY CLUB RD, TUCSON, AZ 85716-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019028656
IL
1223G0001X
General Practice Dentistry
Primary
D8306
AZ
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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