Individual
VIDHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WHITTIER PL APT 15J, BOSTON, MA 02114-1409
(617) 407-9611
Mailing address
8 WHITTIER PL APT 15J, BOSTON, MA 02114-1409
(617) 407-9611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859226
MA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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