| NPI | 1255405478 |
|---|---|
| Former Name | KIM URBANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 11308) |
| Additional Taxonomies | 122400000X Denturist (Licence: MN D11308) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-09-17 |