| NPI | 1811334857 |
|---|---|
| Former Name | SHAYNA GARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.025358) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.025358) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2019-04-17 |