Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 46337 | CA |
NPI | 1013119718 |
---|---|
Provider Name | Dr. Michelle Pui Han To |
First Address | Sherman Oaks, CA 91423-3918 |
Second Address | Sherman Oaks, CA 91423-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 06/04/2020 |