| NPI | 1437860376 |
|---|---|
| Former Legal Business Name | SHRIJANA SHAKYA DDS INC |
| Entity Type | Organization |
| Authorized Contact | SHRIJANA SHAKYA President 334-557-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |