| NPI | 1285723676 |
|---|---|
| Former Name | MICHELLE Y KURKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9595) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019090) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE 60113228) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-02-19 |