| NPI | 1720516685 |
|---|---|
| Former Name | OKSANA VALENTINOVNA FURSOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1001784-15) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-07-02 |