| NPI | 1588949259 |
|---|---|
| Other Name | ALEKSANDR TARASOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: HI DT-2628) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 61395) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2019-02-07 |