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1790569739
ALTAF HUSSAIN SHAH
MILWAUKEE, WI
NPI
1790569739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 82085-875)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
Dr. ALTAF HUSSAIN SHAH
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6920
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Mailing Address
Dr. ALTAF HUSSAIN SHAH
18270 TAYWOOD CIR
BROOKFIELD, WI 53045-5682
Phone number:
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