| NPI | 1871808378 |
|---|---|
| Professional Name | ALEX PODEBRYI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN014749) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 50055056) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-02-02 |