| NPI | 1366556037 |
|---|---|
| Former Name | TIKA TIKA SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2000159262) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 31050) |
| 1223D0001X Dentist, Dental Public Health (Licence: FL 119) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-10-16 |