Individual
SONIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-6862
Mailing address
5629 VINE ST, C9, PHILADELPHIA, PA 19139
(215) 383-1376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS042585
PA
1223P0221X
Pediatric Dentistry
Primary
DS042585
PA
Other
Enumeration date
04/29/2018
Last updated
06/29/2020
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