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Individual

DR. MARLINA M SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
121 E 6TH AVE, SUITE 101, LANCASTER, OH 43130-2595
(740) 524-9372
Mailing address
121 E 6TH AVE, SUITE 101, LANCASTER, OH 43130-2595
(740) 524-9372

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.023693
OH
1223P0221X
Pediatric Dentistry
Primary
30-023693
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080535
OH
Enumeration date
04/25/2012
Last updated
04/14/2025
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