Maryanchik, Igor

Maryanchik, Igor is an individual health care provider with primary practice located at 2450 Pepperrell Street 59Dts-Mrde, Lackland Afb TX 78236-5345. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Maryanchik, Igor can be contacted via phone (210) 292-6705.

Contact Information

Primary practice address
2450 Pepperrell Street 59Dts-Mrde Lackland Afb TX 78236-5345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS030703L Pennsylvania

Profile Details

NPI number 1265644769
LBN Legal business name Maryanchik, Igor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 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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