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Shailly Shah, DDS
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1215670351

Shailly Shah is a Student in an Organized Health Care Education/Training Program based in Great Falls, CT. Shailly Shah practices in Farmington, CT and has the professional credentials of DDS. The NPI Number for Shailly Shah is 1215670351 and holds a License No. 13417 (Connecticut).

The current practice location address for Shailly Shah is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 263 Farmington Ave, Farmington, CT, 22066-1569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215670351
Provider Name
Shailly Shah
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT, 22066-1569
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
04/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13417 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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