Individual
KAVITA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 HAVERHILL ST, METHUEN, MA 01844-3462
(978) 682-6200
Mailing address
4 STRAWBERRY LN, WESTFORD, MA 01886-1972
(978) 835-6035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859941
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/28/2022
Last updated
08/20/2023
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