| NPI | 1639574916 |
|---|---|
| Former Name | MELISSA HARISH SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D6228-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02573000) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 22DI02573000) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2017-02-23 |