Individual
DR. PRACHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4400 ROUTE 9 S STE 3200, FREEHOLD, NJ 07728-4210
(732) 702-2787
(732) 702-2448
Mailing address
5 SCHINDLER DR S, OLD BRIDGE, NJ 08857-3304
(732) 789-8166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02629700
NJ
Other
Enumeration date
05/19/2016
Last updated
04/05/2021
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