| NPI | 1356638431 |
|---|---|
| Former Name | VITALIYA NECHYPORENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055648-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038707) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-08-11 |