| NPI | 1578290755 |
|---|---|
| Former Name | BIANA CHANNEL GOTLIBOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 062566) |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-08-06 |