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Individual
NIDHI SHAH
Active
Individual
NIDHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS,MDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032810
IL
1223P0300X
Periodontics
Primary
021.003060
IL
Other
Enumeration date
10/02/2014
Last updated
11/16/2022
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