Individual
DR. HEMANTIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
747 MELROSE AVENUE, C O MELROSE DENTAL OFFICE, BRONX, NY 10451
(718) 585-5124
(718) 585-5124
Mailing address
317 SHEA DR, NEW MILFORD, NJ 07646-1111
(201) 265-7160
(201) 265-7160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00491814
—
NY
Enumeration date
01/03/2006
Last updated
07/08/2007
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