| NPI | 1447950654 |
|---|---|
| Former Name | YAUHENIYA OSBON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D012308) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2023022202) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-08-28 |