| NPI | 1659776516 |
|---|---|
| Former Name | SHIRLEY M PANIAGUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02574200) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02574200) |
| 1223G0001X Dentist, General Practice (Licence: NY 059035) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-08-31 |