Individual
DHAVAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
292 W RIDGE PIKE, BULD- B, SECOND FLOOR, LIMERICK, PA 19468-3716
(484) 973-6567
Mailing address
1074 GRAYSON DR, SOUDERTON, PA 18964-2292
(732) 599-8784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029123
IL
122300000X
Dentist
Primary
DS039259
PA
Other
Enumeration date
07/19/2012
Last updated
08/16/2013
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