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Individual
DR. MYKOLA KRYLYUK
Active
Individual
DR. MYKOLA KRYLYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11420
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11420
DENTAL LICENSE
CT
Enumeration date
06/20/2015
Last updated
06/20/2015
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