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Altaf Shah — NPI 1790569739, Milwaukee, WI | NPI Central

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NPI 1790569739

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Altaf Shah

NPI 1790569739 · Dentist · Milwaukee, WI

Provider details

NPI number: 1790569739
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: Yes
License: 82085-875 (WI)

Specialties & taxonomies

DentistPrimary122300000XLicense 82085-875 (WI)
Dental Providers

Practice location

1801 W Wisconsin Ave

Milwaukee, WI 53233-2186

Phone: (414) 288-6920

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

18270 Taywood Cir

Brookfield, WI 53045-5682

Registry dates

Enumerated: 2023-08-21
Last updated: 2023-08-21
Certified: 2023-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.