Individual
KHUSHALI M SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6816
Mailing address
566 MILL RUN, PARAMUS, NJ 07652-1755
(201) 705-3183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060210-01
NY
Other
Enumeration date
03/27/2017
Last updated
12/02/2021
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