Individual
DR. DEVANG VINAYKANT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5455 MCGINNIS VILLAGE PLACE, SUITE 103, ALPHARETTA, GA 30005-2648
(770) 751-1500
(770) 751-1508
Mailing address
5455 MCGINNIS VILLAGE PLACE, SUITE 103, ALPHARETTA, GA 30005-2648
(770) 751-1500
(770) 751-1508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411757
VA
122300000X
Dentist
DN013630
GA
1223G0001X
General Practice Dentistry
Primary
DN013630
GA
1223G0001X
General Practice Dentistry
DS036872
PA
Other
Enumeration date
12/13/2006
Last updated
06/13/2016
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