Individual
NEAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1175 PEACHTREE ST STE 1204, 100 COLONY SQUARE, ATLANTA, GA 30361-6213
(404) 872-2097
Mailing address
1175 PEACHTREE ST STE 1204, 100 COLONY SQUARE, ATLANTA, GA 30361-6213
(404) 872-2097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013903
GA
Other
Enumeration date
08/18/2009
Last updated
02/16/2011
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