| NPI | 1346255916 |
|---|---|
| Former Name | IRENE LOZOVSKAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 19658) |
| Additional Taxonomies | 122300000X Dentist (Licence: NH 03458) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-03-08 |