Individual
SHIVANI SHIRGAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
70 WESTGATE DR, BROCKTON, MA 02301-1811
(508) 872-3325
Mailing address
200 FALLS BLVD UNIT A104, QUINCY, MA 02169-8145
(302) 290-4877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857064
MA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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