Individual
ANDRIY SHEVCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4066 BOHEMIAN HWY, OCCIDENTAL, CA 95465
(909) 809-1069
Mailing address
PO BOX 1163, OCCIDENTAL, CA 95465-1163
(909) 809-1069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60338
CA
Other
Enumeration date
06/01/2011
Last updated
06/14/2013
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