| NPI | 1699113647 |
|---|---|
| Former Name | SHRADDHA VILAS POWAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CT 11438) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 2.011438 PROV) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2015-09-09 |