Individual
BHAVIK P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1240 HIGHWAY 54 W STE 315, FAYETTEVILLE, GA 30214-4572
(770) 478-6878
(770) 478-4642
Mailing address
1240 HIGHWAY 54 W STE 315, FAYETTEVILLE, GA 30214-4572
(770) 478-6878
(770) 478-4642
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12417
GA
Other
Enumeration date
11/20/2006
Last updated
04/04/2017
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