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Individual
YULIYA PETUKHOVA
Active
Individual
YULIYA PETUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14456
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12048924-9926
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
77495
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D14456
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
77495
MN
Other
Enumeration date
04/10/2020
Last updated
07/08/2026
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