ANSHUL MIKIN SHAH

ROCKFORD, IL
NPI1639785850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.032920)
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
ANSHUL MIKIN SHAH
6066 STRATHMOOR DR
ROCKFORD, IL 61107-6633
Phone number: 815-226-0400
Mailing Address
ANSHUL MIKIN SHAH
11740 WILSHIRE BLVD # A1802
LOS ANGELES, CA 90025-6536
Phone number: 013-567-1182
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