Individual
SHIVANI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
19 ORCHID DR, PLAINSBORO, NJ 08536-1968
(732) 245-0562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100803
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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