Individual
DR. RAJA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6233
(505) 254-2273
Mailing address
1300 NEMESIA PL NE, ALBUQUERQUE, NM 87112-6321
(505) 220-0919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3653
NM
Other
Enumeration date
07/08/2009
Last updated
03/16/2015
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