Individual
PRIYAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BRIDGE ST, LOWELL, MA 01850-1293
(978) 455-7056
Mailing address
45 MOODY ST UNIT 220, WALTHAM, MA 02453-5373
(617) 637-6748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DM1858896
MA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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