Individual
DR. NAMITA PRASHANT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
447 ROUTE 10 E, SUITE #3, RANDOLPH, NJ 07869-2132
(973) 537-7500
(973) 537-7400
Mailing address
1705 WINDSOR CT, DENVILLE, NJ 07834-3449
(973) 537-8085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01915000
NJ
Other
Enumeration date
05/31/2007
Last updated
09/03/2009
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