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1073697561
MIRA M SHAH
ALBANY, NY
NPI
1073697561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 36979)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Mrs. MIRA M SHAH DDS
1692 CENTRAL AVE
ALBANY, NY 12205-4045
Phone number: 518-869-0635
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Mailing Address
Mrs. MIRA M SHAH DDS
1692 CENTRAL AVE
ALBANY, NY 12205
Phone number: 518-869-0635
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