DR. Igor Maryanchik, DDS
NPI #1265644769 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1265644769
- Entity Type
- Individual
- Name
- DR. Igor Maryanchik, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2450 PEPPERRELL STREET
- Address 2
- 59DTS-MRDE
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5345
- Phone
- (210) 292-6705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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