Individual
DR. ASHMITA JAYARAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1180 RESURGENCE DR, SUITE 300, WATKINSVILLE, GA 30677-7210
(706) 549-8737
Mailing address
1180 RESURGENCE DR, SUITE 300, WATKINSVILLE, GA 30677-7210
(706) 549-8737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013566
GA
Other
Enumeration date
06/26/2007
Last updated
10/26/2016
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