# VISHAL SHAH, DMD, PLLC

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

## Provider details

- **NPI number:** 1336582154
- **Authorized official:** DR. VISHAL SHAH (DENTIST)
- **Authorized official phone:** (703) 314-9994

## Contact information

- **Practice address:** 4860 RUCKER RD STE 3, MONETA, VA 24121-5281
- **Practice address phone:** (540) 297-7737
- **Mailing address:** 4860 RUCKER RD STE 3, MONETA, VA 24121-5281
- **Mailing address phone:** (540) 297-7737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413209 | VA | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 04/11/2013