Individual
JULIA SHCHERBAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
5940 ULALI DR NE, KEIZER, OR 97303-1500
(800) 813-2000
Mailing address
5940 ULALI DR NE, KEIZER, OR 97303-1500
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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