Individual
RIA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7516 CITY AVE STE 15, PHILADELPHIA, PA 19151-2102
(267) 459-5657
Mailing address
301 VILLAGE DR APT 318, KING OF PRUSSIA, PA 19406-3056
(978) 201-6394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045188
PA
Other
Enumeration date
05/29/2023
Last updated
06/16/2025
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