Ruslan Fomenko, DMD

NPI #1548002256 in Traverse City, Michigan

Provider Information

NPI Number: 1548002256
Entity Type: Individual
Name: Ruslan Fomenko, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 12, 2024
Last Updated: Jun 12, 2024

Practice Location

Address: 2815 GARFIELD RD N
City: Traverse City
State: Michigan
ZIP Code: 49686-5005
Phone: (231) 947-4380

Specialties & Taxonomy Codes

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

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