Individual
POOJA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 HEARTLAND CT, DAYTON, VA 22821-9000
(540) 879-9002
Mailing address
PO BOX 2033, WINCHESTER, VA 22604-1233
(704) 460-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418105
VA
122300000X
Dentist
4590
WV
Other
Enumeration date
08/16/2022
Last updated
01/22/2023
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