Individual
DR. GAURAV P. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5650 ROUTE 42, BLACKWOOD, NJ 08012-1045
(856) 302-7026
Mailing address
50 LIBERTY DR, DAYTON, NJ 08810-1614
(732) 763-6010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DR03244
NJ
Other
Enumeration date
07/10/2018
Last updated
10/30/2023
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