Individual
PATHIK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6818 CASTOR AVE, PHILADELPHIA, PA 19149-2106
(240) 630-2435
Mailing address
6818 CASTOR AVE, PHILADELPHIA, PA 19149-2106
(215) 742-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041694
PA
Other
Enumeration date
08/14/2014
Last updated
05/14/2021
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