Individual
DR. MARIYA MELNIK COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2233 WILLAMETTE ST STE B1, EUGENE, OR 97405-2890
(541) 485-6644
Mailing address
985 HUGHES ST, EUGENE, OR 97402-1925
(425) 773-7238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11054
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B155786
DRIVERS ID
OR
Enumeration date
06/01/2018
Last updated
01/12/2023
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