Julia Jane Ann Vidyakin Valid NPI

Individual provider · Dentist · Cape Girardeau, MO

NPI

1356070890

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2022020735 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2022-06-09

Last updated

2024-10-23