Organization
MANCHESTER DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUSHIN SHAH DDS (DENTIST)
(724) 261-1034
Entity
Organization
Contact information
Practice address
229 E CENTER ST, MANCHESTER, CT 06040-5207
(724) 261-1034
Mailing address
764 SHAKER RD, LONGMEADOW, MA 01106-2421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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