Gennadiy Dameshek, O.D.

NPI #1871799106 in De Soto, Missouri

Provider Information

NPI Number: 1871799106
Entity Type: Individual
Name: Gennadiy Dameshek, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 24, 2007
Last Updated: Jun 4, 2009

Practice Location

Address: 126 S MAIN ST
City: De Soto
State: Missouri
ZIP Code: 63020-2104
Phone: (636) 586-5406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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