Individual
BHAVIN S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(732) 491-6438
(570) 888-5607
Mailing address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(732) 491-6438
(570) 888-5701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22230
MA
1223G0001X
General Practice Dentistry
Primary
DS037553
PA
Other
Enumeration date
06/30/2008
Last updated
01/15/2013
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