Individual
DR. SHAHNAM ALEXANDER SHIFTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 HOLIDAY CT, RIVER VALE, NJ 07675-5708
(201) 264-5270
Mailing address
16 HOLIDAY CT, RIVER VALE, NJ 07675-5708
(201) 264-5270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056166
NJ
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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