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Individual
MAHAM FATIMA SHAH
Active
Individual
MAHAM FATIMA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042033
PA
1223G0001X
General Practice Dentistry
16699
MD
1223G0001X
General Practice Dentistry
22DI02952400
NJ
Other
Enumeration date
02/06/2019
Last updated
08/06/2023
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