Individual
SHALIN RAJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02326700
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS036945
PA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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