Individual provider · Type 1 NPI
Fay Kotlyarenko, DMD
Student in an Organized Health Care Education/Training Program · Chapel Hill, NC
NPI number
1205684412
Active
Practice location
149 Brauer Hall, Cb 7450
Chapel Hill, NC 27599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1205684412
Fay Kotlyarenko, DMD's National Provider Identifier is 1205684412, issued on May 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chapel Hill, NC. The record was last updated on May 11, 2024.