Individual
DMYTRO TERTYTSKYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7701 YORK AVE S STE 240, EDINA, MN 55435-5896
(651) 505-5900
Mailing address
9460 ULYSSES ST NE APT 320, MINNEAPOLIS, MN 55434-3502
(646) 659-4428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15072
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/15/2024
Last updated
08/16/2025
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