DR. Shyam A. Shah, D.M.D.

NPI #1104206010 in Newark, New Jersey

Provider Information

NPI Number
1104206010
Entity Type
Individual
Name
DR. Shyam A. Shah, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Jun 5, 2015
Last Updated
Nov 14, 2019

Practice Location

Address
110 BERGEN ST RM B-854
City
Newark
ZIP Code
07103-2495
Phone
(973) 972-4717

Specialties & Taxonomy Codes

Specialty
Dentist

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