# DR. DHARA K SHAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134409402
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02503500 | NJ | Yes |
| 122300000X | Dentist | DS039053 | PA | — |
| 1223G0001X | General Practice Dentistry | 010870 | CT | — |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 12/29/2024