Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH15914 | FL |
NPI | 1013258813 |
---|---|
Provider Name | Julia Sokolovskaya |
First Address | Sunny Isles Beach, FL 33160-3675 |
Second Address | Sunny Isles Beach, FL 33160-3675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2013 |
Last Update Date | 05/03/2013 |