Organization
RIVERSIDE DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHWETA A SHAH DDS (OWNER/DENTIST)
(973) 766-2928
Entity
Organization
Contact information
Practice address
905 ALLWOOD ROAD, SUITE 107, CLIFTON, NJ 07012
(973) 777-5353
(973) 249-0016
Mailing address
905 ALLWOOD ROAD, SUITE 107, CLIFTON, NJ 07012
(973) 777-5353
(973) 249-0016
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D21821
NJ
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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