# IRYNA HRYVENKO DALINE

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

## Provider details

- **NPI number:** 1679026595
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401418170 | VA | — |
| 122300000X | Dentist | 39193 | TX | — |
| 122300000X | Dentist | R665 | MN | — |
| 1223E0200X | Endodontics | 39193 | TX | Yes |
| 1223X2210X | Orofacial Pain Dentistry | 39193 | TX | — |
| 1223X2210X | Orofacial Pain Dentistry | S152 | MN | — |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 09/15/2023