| NPI | 1003159864 |
|---|---|
| Former Name | PRIYAL NAVIN SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61434) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61434) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2018-10-25 |