MEDICARE: DR. YULIYA P. ZEBROWSKI DDS

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
1	122300000X	Dentist	24671	TX

General Provider Information

NPI Number	:	1275760613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YULIYA P. ZEBROWSKI DDS

Provider Business Mailing Address
First Line	:	25040 BLACK CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1100
Country	:	US
Telephone Number	:	210-677-9174
Fax Number	:

Provider Business Practice Location Address
First Line	:	5230 DE ZAVALA RD STE 225
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1731
Country	:	US
Telephone Number	:	210-696-0667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	06/12/2009

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