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1104206010
SHYAM A. SHAH
NEWARK, NJ
NPI
1104206010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02605700)
Enumeration Date
2015-06-05
Last Update Date
2019-11-14
Business Address
Dr. SHYAM A. SHAH D.M.D.
110 BERGEN ST RM B-854
NEWARK, NJ 07103-2495
Phone number: 973-972-4717
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Mailing Address
Dr. SHYAM A. SHAH D.M.D.
110 BERGEN ST RM B-854
NEWARK, NJ 07103-2495
Phone number: 973-972-4717
Copy
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