Individual
DR. VISHAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4860 RUCKER RD STE 3, MONETA, VA 24121-5281
(540) 297-7737
Mailing address
9409 ENGLEFIELD CT, FAIRFAX STATION, VA 22039-3173
(703) 314-9994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0442000114
VA
Other
Enumeration date
09/01/2010
Last updated
04/09/2013
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