# RIVERSIDE DENTAL SPECIALTIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134386907
- **Authorized official:** DR. SHWETA A SHAH DDS (OWNER/DENTIST)
- **Authorized official phone:** (973) 766-2928

## Contact information

- **Practice address:** 905 ALLWOOD ROAD, SUITE 107, CLIFTON, NJ 07012
- **Practice address phone:** (973) 777-5353
- **Practice address fax:** (973) 249-0016
- **Mailing address:** 905 ALLWOOD ROAD, SUITE 107, CLIFTON, NJ 07012
- **Mailing address phone:** (973) 777-5353
- **Mailing address fax:** (973) 249-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | D21821 | NJ | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008