Individual
NEELAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3167 PEACHTREE RD NE STE A, ATLANTA, GA 30305-1812
(470) 338-5350
Mailing address
1439 N HIGHWAY 77 STE 101, WAXAHACHIE, TX 75165-5120
(972) 923-0900
(972) 243-6059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123375
GA
1223G0001X
General Practice Dentistry
33178
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2017
Last updated
11/18/2024
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