Individual
DR. REESHA PATEL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
39 S FULLERTON AVE STE 10, MONTCLAIR, NJ 07042-6303
(973) 233-5144
Mailing address
214 50TH AVE APT 507E, LONG ISLAND CITY, NY 11101-5935
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055653
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02700400
NJ
Other
Enumeration date
07/22/2011
Last updated
11/08/2023
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