| NPI | 1972569317 |
|---|---|
| Former Name | KAJA STYCZYNSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN02891) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI DEN02891) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-06-04 |