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NPI Code Detail

MEDICARE: OKSANA YARMOLICH RDH/RDA

MEDICARE: OKSANA YARMOLICH RDH/RDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1126800000XDental AssistantA9581MN
2124Q00000XDental HygienistH7601MN

General Provider Information

NPI Number : 1245894740
Entity Type Code : Individual
Provider Name (Legal Business Name) : OKSANA YARMOLICH RDH/RDA
Provider Business Mailing Address
First Line : 478 ROBERT ST S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-2236
Country : US
Telephone Number : 651-602-7500
Fax Number : 651-602-7518
Provider Business Practice Location Address
First Line : 478 ROBERT ST S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-2236
Country : US
Telephone Number : 651-602-7500
Fax Number : 651-602-7518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 04/30/2019

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Directions to “ OKSANA YARMOLICH RDH/RDA” Practice Location

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