Individual
PURVI V SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS NUTRITION,DDS,PD
Contact information
Practice address
3750 DACORO LN STE 120, CASTLE ROCK, CO 80109-2502
(303) 663-3388
Mailing address
3750 DACORO LN STE 120, CASTLE ROCK, CO 80109-2502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9060
CO
Other
Enumeration date
10/10/2006
Last updated
07/15/2022
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