Individual
RAJ SHETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 BROADWAY STE 350, NEW YORK, NY 10003-9616
(212) 443-1300
Mailing address
338 E 83RD ST APT 1D, NEW YORK, NY 10028-4270
(817) 808-8439
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
029-367
NY
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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