Individual
DR. DEVINA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
412 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2988
(973) 731-2468
Mailing address
1025 MAXWELL LN, APARTMENT #707, HOBOKEN, NJ 07030-6823
(908) 208-6910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02634800
NJ
1223P0221X
Pediatric Dentistry
DN1856066
MA
Other
Enumeration date
09/19/2013
Last updated
10/25/2016
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