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Individual

YULIYA KARTAEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADT

Contact information

Practice address
4080 W BROADWAY AVE STE 300, ROBBINSDALE, MN 55422-5607
(763) 712-3214
(763) 273-4654
Mailing address
4080 W BROADWAY AVE STE 300, ROBBINSDALE, MN 55422-5607
(763) 712-3214
(763) 273-4654

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H10216
MN
125J00000X
Dental Therapist
Primary
DT112
MN

Other

Enumeration date
03/18/2022
Last updated
03/18/2022
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