Individual
DR. VIDHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
(973) 769-6497
Mailing address
2 SYCAMORE LANE, SWEDESBORO, NJ 08085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02685000
NJ
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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