# MISHA DENT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467406504
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 01042 | WV | — |
| 363A00000X | Physician Assistant | 1042 | WV | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 05/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001807955 | BLUE CROSS BLUE SHIELD | WV |
| 01 | — | 3001166 | WORKERS COMPENSATION | WV |