| NPI | 1669757670 |
|---|---|
| Former Name | MALATHI SHIRLEY LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX F-25446) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX F-25446) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |