Individual
SHRUTI SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
371 NC HWY 65, STE 204, WENTWORTH, NC 27375-0204
(336) 342-8296
(336) 342-8356
Mailing address
371 NC HWY 65, STE 204, WENTWORTH, NC 27375-0204
(336) 342-8296
(336) 342-8356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11258
NC
Other
Enumeration date
07/23/2013
Last updated
03/07/2019
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