Individual
DR. ADVAIT V. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 GREENMEADOW DR, SUITE 205, TIMONIUM, MD 21093-3200
(410) 308-9955
(410) 308-9980
Mailing address
16 GREENMEADOW DR, SUITE 205, TIMONIUM, MD 21093-3200
(410) 308-9955
(410) 308-9980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413923
VA
122300000X
Dentist
053576
NY
122300000X
Dentist
Primary
15215
MD
Other
Enumeration date
11/09/2006
Last updated
06/04/2015
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