Individual
SANIKA A. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03586
RI
122300000X
Dentist
DN1858902
MA
Other
Enumeration date
01/20/2021
Last updated
11/01/2021
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