Individual
DR. SARITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
442 SOUTHRIDGE WAY, IRVING, TX 75063-4299
(214) 205-0548
Mailing address
442 SOUTHRIDGE WAY, IRVING, TX 75063-4299
(214) 205-0548
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164681201
—
TX
01
—
20840
CDC CHIP
TX
Enumeration date
03/02/2007
Last updated
07/09/2007
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