Organization
SHAILZA D SHARMA DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAILZA DHAWAN SHARMA DMD (DIRECTOR)
(706) 814-3183
Entity
Organization
Contact information
Practice address
341 MAIN ST, DOUGLAS, MA 01516-2182
(508) 476-3115
Mailing address
53 HEMINGWAY ST, SHREWSBURY, MA 01545-3983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104088913
—
MA
Enumeration date
12/06/2016
Last updated
12/06/2016
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