# DR. PAVEL SVILENOV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093870529
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019-026809 | IL | — |
| 1223G0001X | General Practice Dentistry | 12010897A | IN | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 07/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200840410 | — | IN |