Individual
SHRUTI ASHVIN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11770 HAYNES BRIDGE RD STE 605, ALPHARETTA, GA 30009-1971
(678) 689-0205
Mailing address
11770 HAYNES BRIDGE RD STE 605, ALPHARETTA, GA 30009-1971
(678) 689-0205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122427
GA
Other
Enumeration date
07/26/2021
Last updated
06/07/2022
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