| NPI | 1679026595 |
|---|---|
| Former Name | IRYNA HRYVENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 39193) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401418170) |
| 122300000X Dentist (Licence: TX 39193) | |
| 122300000X Dentist (Licence: MN R665) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: MN S152) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: TX 39193) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-09-15 |