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1003980020
BHAVIK P SHAH
FAYETTEVILLE, GA
NPI
1003980020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: GA 12417)
Enumeration Date
2006-11-20
Last Update Date
2017-04-04
Business Address
-- BHAVIK P SHAH D.D.S.
1240 HIGHWAY 54 W STE 315
FAYETTEVILLE, GA 30214-4572
Phone number: 770-478-6878
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Mailing Address
-- BHAVIK P SHAH D.D.S.
1240 HIGHWAY 54 W STE 315
FAYETTEVILLE, GA 30214-4572
Phone number: 770-478-6878
Copy
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