Individual
DR. TARAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
43 E MAIN ST, MARLTON, NJ 08053-2156
(856) 983-5559
(856) 985-1315
Mailing address
4041 HERMITAGE DR, VOORHEES, NJ 08043-4189
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
050411
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22D102258900
NJ
Other
Enumeration date
08/18/2009
Last updated
06/06/2016
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