Individual
DR. RUPALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3909 MAIN ST, BRIDGEPORT, CT 06606-2872
(203) 374-1911
Mailing address
159 E MAIN ST, LITTLE FALLS, NJ 07424-1732
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11165
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02720500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
01/07/2023
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