NPI 1013584689 · live from the CMS NPI Registry
Galina Valentinovna Bulatova, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Wooster, OH. National Provider Identifier 1013584689, active.
NPI record
| NPI | 1013584689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5225 Cleveland Rd Ste D, Wooster, OH 44691 |
| Practice phone | 419-756-7004 |
| Enumerated | June 10, 2021 |
| Last updated | June 10, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30.026546 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.