NPI | 1114155637 |
---|---|
Former Name | AMY L SHIH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 051031-1) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NY 051031-1) |
1223P0700X Dentist, Prosthodontics (Licence: NY 051031) | |
Enumeration Date | 2009-06-23 |
Last Update Date | 2020-01-30 |