Individual
EKATERINA ZAKHAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 DELAWARE ST SE, ORTHODONTICS DEPARTMENT, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
4918 1/2 MCCONNELL AVE, LOS ANGELES, CA 90066-6714
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS102024
CA
Other
Enumeration date
12/01/2016
Last updated
10/03/2017
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