Individual provider · Type 1 NPI

Sonika Shah

Pediatric Dentistry · Philadelphia, PA

NPI number 1083102669 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Call (215) 427-6862 Map

Mailing address

5629 Vine St, C9
Philadelphia, PA 19139

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS042585 (PA)
Pediatric Dentistry Primary 1223P0221XDS042585 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1083102669

Sonika Shah's National Provider Identifier is 1083102669, issued on Apr 29, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2020.