Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 30-022964 | OH |
NPI | 1174751044 |
---|---|
Provider Name | Dr. Zinaida Kaleinikova |
First Address | Cleveland, OH 44143-3825 |
Second Address | Cleveland, OH 44106-1712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 30/06/2009 |