Individual
SHILP DALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 STATE ROUTE 18 S STE B, EAST BRUNSWICK, NJ 08816-1904
(732) 955-0709
Mailing address
1631 PATERSON PLANK RD APT 312, SECAUCUS, NJ 07094-4172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02805900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2019
Last updated
08/02/2023
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