Fresh Pediatric Dentistry PC
NPI #1497488985 in Montclair, New Jersey
Provider Information
- NPI Number
- 1497488985
- Entity Type
- Organization
- Organization Name
- Fresh Pediatric Dentistry PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jul 2, 2022
- Last Updated
- Jun 2, 2023
Practice Location
- Address
- 39 SOUTH FULLERTON AVE
- Address 2
- SUITE 10
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042
- Phone
- (347) 979-2185
Authorized Official
- Name
- DR. REESHA PATEL SHAH, DMD
- Title
- OWNER
- Phone
- (617) 708-5108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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