Individual
PRANJLI VISHAL ZAVERI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 MOUNT PROSPECT AVE, NEWARK, NJ 07104-4909
(973) 482-3866
Mailing address
2205 PLAZA DR, WOODBRIDGE, NJ 07095-1131
(410) 300-6263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02547100
NJ
Other
Enumeration date
10/09/2013
Last updated
08/25/2014
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