Individual
VAIDEHI S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CITY AVE STE G5, BALA CYNWYD, PA 19004-1707
(203) 583-0404
Mailing address
1 FRANKLIN TOWN BLVD APT 707, PHILADELPHIA, PA 19103-1243
(203) 583-0404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042907
PA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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