Organization
VARSHA D SHAH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARSHA D SHAH DDS (PRESIDENT)
(718) 933-0998
Entity
Organization
Contact information
Practice address
3005 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 933-0998
(718) 933-0110
Mailing address
3005 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 933-0998
(718) 933-0110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
033490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311835
—
NY
Enumeration date
04/04/2008
Last updated
04/04/2008
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