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Organization
SHIVM SHAH, PC
Active
Organization
SHIVM SHAH, PC
Active
Other names
Emerald Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVM SHAH DDS (PRINCIPAL DENTIST)
(908) 451-8209
Entity
Organization
Contact information
Practice address
397 CHESTNUT ST STE 1, UNION, NJ 07083-9419
(862) 347-3239
Mailing address
17 BERTRAN DR, BRIDGEWATER, NJ 08807-5609
(908) 451-8209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144809278
NPI
—
Enumeration date
06/02/2025
Last updated
06/08/2025
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