KHANTIL R SHAH

PASCOAG, RI
NPI1194134601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NH  04079)
Enumeration Date2014-08-08
Last Update Date2015-07-17
Business Address
-- KHANTIL R SHAH DMD
36 BRIDGE WAY
PASCOAG, RI 02859-3131
Phone number: 401-567-0800
Mailing Address
-- KHANTIL R SHAH DMD
PO BOX 312
PASCOAG, RI 02859-0312
Phone number: 401-567-0800
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