Organization
KINNAR SHAH, DMD, PC
Active
Other names
Southbridge Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KINNAR SHAH DMD (PRESIDENT)
(215) 385-1003
Entity
Organization
Contact information
Practice address
305 MAIN ST, SOUTHBRIDGE, MA 01550-3726
(508) 765-0880
Mailing address
305 MAIN ST, SOUTHBRIDGE, MA 01550-3726
(508) 765-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18562188
MA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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