Provider Demographics
NPI:1942987490
Name:KARZAN, YAUHENIYA (DMD)
Entity Type:Individual
Prefix:
First Name:YAUHENIYA
Middle Name:
Last Name:KARZAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 N ROSELLE RD STE A
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3691
Mailing Address - Country:US
Mailing Address - Phone:847-885-7645
Mailing Address - Fax:
Practice Address - Street 1:1224 N ROSELLE RD STE A
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3691
Practice Address - Country:US
Practice Address - Phone:847-885-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.034404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist