DR. Vyacheslav Dmytruk, D.M.D

NPI #1356748784 in Roseburg, Oregon

Provider Information

NPI Number: 1356748784
Entity Type: Individual
Name: DR. Vyacheslav Dmytruk, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Dec 1, 2014
Last Updated: Feb 1, 2021

Practice Location

Address: 1729 W HARVARD AVE STE 2
City: Roseburg
State: Oregon
ZIP Code: 97471-2795
Phone: (458) 802-7028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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