Individual
SLOBODANKA RAJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 ONEIDA ST, UTICA, NY 13501-4866
(315) 793-7600
Mailing address
513 RIVERSIDE DR, ROME, NY 13440-5419
(315) 225-8656
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026582-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124Q00000X
DENTAL HYGIENIST
NY
Enumeration date
07/28/2016
Last updated
07/28/2016
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