| Kinnar R Shah Dmd Pa | |
|
121 Waterman Ave Mount Dora FL 32757-9541 | |
| (352) 735-0738 | |
| Not Available |
| Full Name | Kinnar R Shah Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Waterman Ave, Mount Dora, Florida |
| Authorized Official Name and Position | Kinnar Rameshchandra Shah (PRESIDENT, OWNER) |
| Authorized Official Contact | 2153851003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinnar R Shah Dmd Pa 30 Live Oak Rd Winter Garden FL 34787-9115 Ph: (215) 385-1003 | Kinnar R Shah Dmd Pa 121 Waterman Ave Mount Dora FL 32757-9541 Ph: (352) 735-0738 |
| NPI Number | 1457032807 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457032807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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