Organization
EDWARD V. SHAGAM, .D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD V SHAGAM D.D.S. (PRESIDENT)
(609) 267-2266
Entity
Organization
Contact information
Practice address
9 GARDEN ST # 11, MOUNT HOLLY, NJ 08060-1839
(609) 267-2266
(856) 983-1334
Mailing address
9 GARDEN ST # 11, MOUNT HOLLY, NJ 08060-1839
(609) 267-2266
(856) 983-1334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS 11833
NJ
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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