Individual
DR. GIRISH J SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 406-7005
Mailing address
1 E ROE BLVD, PATCHOGUE, NY 11772-2631
(631) 475-3900
(631) 406-7005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032477
NY
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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