Individual provider · Type 1 NPI
Georgii Deryabin, DDS
Student in an Organized Health Care Education/Training Program · New Orleans, LA
Practice location
1100 Florida Avenue,, Box 18, Room 5321, New Orleans Louisiana 70119-2799
New Orleans, LA 70119
Fax (504) 941-8215
Mailing address
1100 Florida Avenue, Box 18, Room 5321, New Orleans, L
New Orleans, LA 70119
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 1972332419
Georgii Deryabin, DDS's National Provider Identifier is 1972332419, issued on Aug 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Orleans, LA. The record was last updated on Aug 1, 2024.