| NPI | 1578962254 |
|---|---|
| Former Name | SONAM VIPULKUMAR SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 260168) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 9527) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2023-11-27 |