Individual
HETA P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 EMERALD SQ, NORTH ATTLEBORO, MA 02760-3647
(508) 699-2626
Mailing address
5 LAKESHORE CTR UNIT 1322, BRIDGEWATER, MA 02324-1085
(918) 852-5658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859594
MA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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