Individual
SHREYAS SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
294 WOODBRIDGE CENTER DRIVE, WOODBRIDGE CENTER DENTAL PA, WOODBRIDGE, NJ 07095
(732) 750-3080
(732) 750-3098
Mailing address
294 WOODBRIDGE CENTER DRIVE, WOODBRIDGE CENTER DENTAL PA, WOODBRIDGE, NJ 07095
(732) 750-3080
(732) 750-3098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
221102287503
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090042
—
NJ
Enumeration date
04/13/2007
Last updated
07/08/2007
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