Individual
PARESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
285 DURHAM AVE, SUITE 2B, SOUTH PLAINFIELD, NJ 07080
(908) 731-7878
Mailing address
2 MARION CT, OLD BRIDGE, NJ 08857-2795
(201) 647-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02314300
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02314300
NJ
Other
Enumeration date
08/01/2007
Last updated
04/13/2021
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