Individual
SHAINA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
749 BLOOMFIELD AVE # D, WEST CALDWELL, NJ 07006-6717
(973) 241-5416
Mailing address
749 BLOOMFIELD AVE # D, WEST CALDWELL, NJ 07006-6717
(973) 241-5416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02864900
NJ
Other
Enumeration date
07/16/2020
Last updated
11/30/2021
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