| Advait V. Shah, Dmd, Llc | |
|
6629 Huntshire Dr Elkridge MD 21075-6188 | |
| (516) 380-9603 | |
| Not Available |
| Full Name | Advait V. Shah, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6629 Huntshire Dr, Elkridge, Maryland |
| Authorized Official Name and Position | Advait Shah (MANAGING MEMBER/ DENTIST) |
| Authorized Official Contact | 5163809603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advait V. Shah, Dmd, Llc 6629 Huntshire Dr Elkridge MD 21075-6188 Ph: () - | Advait V. Shah, Dmd, Llc 6629 Huntshire Dr Elkridge MD 21075-6188 Ph: (516) 380-9603 |
| NPI Number | 1073908638 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073908638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15215 (Maryland) | Primary |
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