Inna Kotlyarenko DDS

NPI 1144423427 - Dentist - 1223G0001X

NPI Details
NPI 1144423427
Gender Female
Enumeration Date 06/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10425 W NORTH AVE
SUITE 335
WAUWATOSA WI, 53226, US
Phone (414) 476-3909
Fax
Business Location
10425 W NORTH AVE
SUITE 335
WAUWATOSA WI, 53226, US
Phone (414) 476-3909
Fax (414) 476-3909
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 3358
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According to our database, Dr. Inna Kotlyarenko DDS NPI is 1144423427, taxonomy code is 1223G0001X and license number is 3358, license state is located at Wisconsin. Inna Kotlyarenko DDS physically located at 10425 W North Ave, Wauwatosa WI, 53226. NPI Number Inna Kotlyarenko DDS has the Individual type.

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1144423427 NPI number is provided on an as is basis without warranty of any kind. 1144423427 is maintained by the National Plan & Provider Enumeration System. The contents of Inna Kotlyarenko DDS are for informational purposes only.