| NPI | 1649495615 |
|---|---|
| Former Name | PRITI N SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 012161) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 41038) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |