Advait V. Shah, Dmd, LLC

NPI #1073908638 in Elkridge, Maryland

Provider Information

NPI Number: 1073908638
Entity Type: Organization
Organization Name: Advait V. Shah, Dmd, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 6629 HUNTSHIRE DR
City: Elkridge
State: Maryland
ZIP Code: 21075-6188
Phone: (516) 380-9603

Authorized Official

Name: DR. ADVAIT SHAH
Title: MANAGING MEMBER/ DENTIST
Phone: (516) 380-9603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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