Individual
SHILPA DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3210 STAGECOACH RD, STOUGHTON, MA 02072-1739
(857) 498-0816
Mailing address
3210 STAGECOACH RD, STOUGHTON, MA 02072-1739
(857) 498-0816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03294
RI
1223G0001X
General Practice Dentistry
DN1857029
MA
Other
Enumeration date
08/12/2015
Last updated
02/18/2016
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