Balytsky, Orest M

Balytsky, Orest M is an sole proprietor health care provider with primary practice located at 1436 Professional Dr Suite 304, Petaluma CA 94954-6697. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Balytsky, Orest M can be contacted via phone (707) 763-2170.

Contact Information

Primary practice address
1436 Professional Dr Suite 304 Petaluma CA 94954-6697
Phone: (707) 763-2170
Fax: (707) 763-7077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 52184 California

Profile Details

NPI number 1639394430
LBN Legal business name Balytsky, Orest M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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