Organization
PRISTINEDENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHAVAL SHAH DDS (DENTIST)
(610) 352-0500
Entity
Organization
Contact information
Practice address
392 AVON RD, UPPER DARBY, PA 19082-4702
(610) 352-0500
Mailing address
392 AVON RD, UPPER DARBY, PA 19082-4702
(610) 352-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
06/16/2022
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