Organization
ADVAIT V. SHAH, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADVAIT SHAH (MANAGING MEMBER/ DENTIST)
(516) 380-9603
Entity
Organization
Contact information
Practice address
6629 HUNTSHIRE DR, ELKRIDGE, MD 21075-6188
(516) 380-9603
Mailing address
6629 HUNTSHIRE DR, ELKRIDGE, MD 21075-6188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15215
MD
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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