Individual
DR. PAVEL SVILENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7713
(317) 537-7280
Mailing address
12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7713
(317) 537-7280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-026809
IL
1223G0001X
General Practice Dentistry
Primary
12010897A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200840410
—
IN
Enumeration date
12/26/2006
Last updated
07/17/2013
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