| NPI | 1780357608 |
|---|---|
| Former Name | ALEXANDRIA OSTROWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901601151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1002641-15) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-10-03 |