Individual
DR. SHADI VAGHEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
150 HINCHMAN AVE STE 6, WAYNE, NJ 07470-2360
(973) 942-8500
(973) 956-7097
Mailing address
PO BOX 3155, WAYNE, NJ 07474-3155
(973) 942-8500
(973) 956-7097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02142200
NJ
Other
Enumeration date
10/06/2010
Last updated
02/25/2015
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