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1205049384
SHASHIKANT SHAH
ORANGE CITY, FL
NPI
1205049384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN8462)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Dr. SHASHIKANT SHAH BDS
123 S INDUSTRIAL DR STE 101
ORANGE CITY, FL 32763-7421
Phone number: 386-775-8737
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Mailing Address
Dr. SHASHIKANT SHAH BDS
123 S INDUSTRIAL DR STE 101
ORANGE CITY, FL 32763-7421
Phone number: 386-775-8737
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