Individual
PRIYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
4901 N TRYON ST, CHARLOTTE, NC 28213-7076
(704) 981-2110
Mailing address
110 MORAN CT, FREDERICK, MD 21702-6440
(240) 535-4014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14296
NC
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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