| NPI | 1669566121 |
|---|---|
| Former Name | YEVGENIYA BABUSHKINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046624) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI0200200) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-15 |