Individual
DR. ANAHITA SHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
803 S WALKER ST, BURGAW, NC 28425-5001
(910) 259-0615
Mailing address
803 S WALKER ST, BURGAW, NC 28425-5001
(910) 259-0615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10286
NC
Other
Enumeration date
07/02/2015
Last updated
03/28/2017
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